Organization Active NPI

Cvdwestgate LLC

  • Vascular Surgery Physician
  • Glendale, AZ
National Provider Identifier
1023686904
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CVDWESTGATE LLC
Doing business as
Center for Venous Disease
Practice address
6751 N Sunset Blvd Ste E333
Glendale, AZ 85305-3154
Phone
(623) 234-2542
Fax
(623) 234-2543
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Heinz
Title
Owner
Phone
(623) 234-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

6751 N Sunset Blvd Ste E333
Glendale, AZ 85305-3154

Mailing address

6751 N Sunset Blvd Ste E333
Glendale, AZ 85305-3154
Phone (623) 234-2542

Other names 1

  • Center for Venous Disease Doing business as

National Provider Directory

National Provider Directory

Locations

6751 N Sunset Blvd
Ste E333
Glendale, AZ 85305
Phone (623) 234-2542

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1023686904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE E333",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053154",
            "telephone_number": "623-234-2542",
            "fax_number": "623-234-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N SUNSET BLVD STE E333",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053154",
            "telephone_number": "623-234-2542",
            "fax_number": "623-234-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVDWESTGATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "HEINZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-234-2542"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Venous Disease",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Venous Disease",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.