Provider Demographics
NPI:1861582629
Name:HEART CARE ASSOCIATES, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:HEART CARE ASSOCIATES, A MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SARKARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-940-1982
Mailing Address - Street 1:3230 WARING CT
Mailing Address - Street 2:STE O
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4509
Mailing Address - Country:US
Mailing Address - Phone:760-940-1982
Mailing Address - Fax:760-940-8153
Practice Address - Street 1:3230 WARING CT
Practice Address - Street 2:STE O
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4509
Practice Address - Country:US
Practice Address - Phone:760-940-1982
Practice Address - Fax:760-940-8153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG048106207RI0011X
CAG048389207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
060011073OtherR R M CARE
060012306OtherR R M CARE
CAGR0029770Medicaid
HW10585Medicare PIN
A50935Medicare UPIN
CAGR0029770Medicaid
W10585Medicare PIN