Organization Active NPI

Cardiovascular Associates of Mesa PC

  • Cardiovascular Disease Physician
  • Mesa, AZ
National Provider Identifier
1104815158
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF MESA PC
Practice address
6309 E Baywood Ave Ste 101
Mesa, AZ 85206-1726
Phone
(480) 641-5400
Fax
(480) 218-4353
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Tina Cherro
Title
Ceo
Phone
(480) 641-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X AZ Primary

Addresses

Primary practice location

6309 E Baywood Ave Ste 101
Mesa, AZ 85206-1726

Mailing address

6309 E Baywood Ave Ste 101
Mesa, AZ 85206-1726
Phone (480) 641-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000639 AZ Part B Supplier - Clinic/Group Practice 3779479357 Receives reassigned benefits from 23 practitioners
Practice locations: Gilbert, AZ; Mesa, AZ; Queen Creek, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2979 W Elliot Rd
Ste 112
Chandler, AZ 85224

3367 S Mercy Rd
Ste 203
Gilbert, AZ 85297
Phone (602) 344-9850

6750 E Baywood Ave
#506
Mesa, AZ 85206

5416 E Baseline Rd
Ste 137
Mesa, AZ 85206

6309 E Baywood Ave
Ste 101
Mesa, AZ 85206
Phone 48064154004010

37200 N Gantzel Rd
Ste 350
Queen Creek, AZ 85140

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1104815158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061726",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 E BAYWOOD AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061726",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF MESA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "CHERRO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-641-5400"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.