Desert Endovascular Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DESERT ENDOVASCULAR SURGICAL CENTER

Practice address

14155 N 83Rd Ave Ste 136
Peoria, AZ 85381

Phone

(623) 847-3884

Fax

(623) 404-3805

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Parag Rami, MD

Title

Owner

Phone

(623) 847-3884

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1033633870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 136",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815652",
            "telephone_number": "623-847-3884",
            "fax_number": "623-404-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE 136",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-847-3884",
            "fax_number": "623-404-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14155 N 83rd Ave # F101-104",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815639",
            "country_code": "US",
            "telephone_number": "623-628-6193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT ENDOVASCULAR SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "RAMI",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-847-3884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann L Derrick, PT
• Jamie R Descoteaux, ARNP
• Desert Amethyst Retirement LLC
• Desert Edge Physical Therapy LLC
• Desert Empire Behavioral Health, Inc.
• Desert Health Is Wealth PLLC
• Desert Magnolia Therapeutic Services
• Desert Mountain Endodontics
• Desert Oasis Eye Care & Optical
• Desert Rocks Dialysis LLC

• Ambulatory Surgical Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.