Provider Demographics
NPI:1841348190
Name:APEX CARDIOLOGY OF SILICON VALLEY A MEDICAL PARTNERSHIP
Entity type:Organization
Organization Name:APEX CARDIOLOGY OF SILICON VALLEY A MEDICAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:T
Authorized Official - Last Name:KWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-369-7500
Mailing Address - Street 1:2400 SAMARITAN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-3910
Mailing Address - Country:US
Mailing Address - Phone:408-369-7500
Mailing Address - Fax:408-558-6940
Practice Address - Street 1:2400 SAMARITAN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3910
Practice Address - Country:US
Practice Address - Phone:408-369-7500
Practice Address - Fax:408-558-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG26374207RC0000X, 207RC0000X
CAG39529207RC0000X
CAA78726207RI0011X
CAA93963207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ16959ZMedicare PIN
CADJ952YMedicare PIN
CAI59277Medicare UPIN
CA00G263740Medicare PIN
CA00A787261Medicare PIN
CAZZZ16959ZMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
CAA42991Medicare UPIN
CA00G395290Medicare PIN
CAA47844Medicare UPIN
CA00G395291Medicare PIN
CAH88566Medicare UPIN