Arizona Cardiovascular Consultants PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

33949 Issued in AZ

Legal business name

ARIZONA CARDIOVASCULAR CONSULTANTS PC

Practice address

3850 E Baseline Rd Ste 102
Mesa, AZ 85206-4403

Phone

(480) 924-0006

Fax

(480) 981-9123

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Seyed Mohsen Sharifi Takieh, MDNPI 1144294109

Title

Owner

Phone

(480) 924-0006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Arizona Cardiovascular Consultants PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Arizona Cardiovascular Consultants PC

  • Specialist
  • Mesa, AZ
  • NPI 1760061592
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Arizona Cardiovascular Consultants PC

  • Specialist
  • Mesa, AZ
  • NPI 1760061592
  NPPES parent name

Practitioners 1

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

• Seyed Mohsen Sharifi Takieh, M.D.

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1144294109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1124287610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 E BASELINE RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064403",
            "telephone_number": "480-924-0006",
            "fax_number": "480-981-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E BASELINE RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064403",
            "telephone_number": "480-924-0006",
            "fax_number": "480-981-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5440 E Southern Ave",
            "address_2": "104",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062779",
            "country_code": "US",
            "telephone_number": "480-924-0006",
            "fax_number": "480-981-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA CARDIOVASCULAR CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "SHARIFI TAKIEH",
        "authorized_official_first_name": "SEYED MOHSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-924-0006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "33949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.