Provider Demographics
NPI:1164472270
Name:ADVANCED CARDIOVASCULAR SPECIALISTS INC
Entity Type:Organization
Organization Name:ADVANCED CARDIOVASCULAR SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURATOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-962-4690
Mailing Address - Street 1:2490 HOSPITAL DR
Mailing Address - Street 2:SUITE 311
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040
Mailing Address - Country:US
Mailing Address - Phone:650-962-4690
Mailing Address - Fax:650-962-4696
Practice Address - Street 1:2490 HOSPITAL DR
Practice Address - Street 2:SUITE 311
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:650-962-4690
Practice Address - Fax:650-962-4696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP 16837174400000X
207RI0011X
CA207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ24970ZMedicare ID - Type UnspecifiedGROUP PROVIDER NUMBER