NPIMap

Organization Active NPI

Cardiovascular Associates of Mesa-Gilbert

  • Specialist
  • Mesa, AZ
National Provider Identifier
1124114665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF MESA-GILBERT
Practice address
6335 E Main St
Suite 4
Mesa, AZ 85205-8965
Phone
(480) 641-5400
Fax
(480) 218-4705
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deb Telles
Title
Practice Administrator
Phone
(480) 641-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6335 E Main St
Suite 4
Mesa, AZ 85205-8965

Mailing address

6335 E Main St
Suite 4
Mesa, AZ 85205-8965
Phone (480) 641-5400

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Associates of Mesa PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6335 E Main St
Ste 4
Mesa, AZ 85205
Phone (480) 351-7555

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124114665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058965",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058965",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF MESA-GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-641-5400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "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 Aug 22, 2020; 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.