NPIMap

Organization Active NPI

Cardiovascular Associates of Mesa P C

  • Cardiac Rehabilitation Registered Nurse
  • Mesa, AZ
National Provider Identifier
1134967680
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
CARDIOVASCULAR ASSOCIATES OF MESA P C
Practice address
6309 E Baywood Ave Ste 101
Mesa, AZ 85206-1726
Phone
(480) 641-5400
Fax
(480) 218-4353
NPI assigned
Jul 18, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIOVASCULAR ASSOCIATES OF MESA P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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
Cardiac Rehabilitation Registered Nurse 163WC3500X NU 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
O20240821004267 AZ Part B Supplier - Intensive Cardiac Rehabilitation 3779479357 Receives reassigned benefits from 10 practitioners
Practice locations: Mesa, 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
Tax ID family
Z David Skloven MD PC3 organizations share this tax ID, including this one
Part of
Z David Skloven MD PC

Other organizations with this tax ID 2

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

Locations

3367 S Mercy Rd
Ste 201
Gilbert, AZ 85297
Phone (602) 466-9664

4838 E Baseline Rd
Ste 105
Mesa, AZ 85206
Phone (480) 890-9000

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1134967680",
    "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 P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOVASCULAR ASSOCIATES OF MESA P C",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "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": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NU",
            "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 9, 2024; 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.