Organization Active NPI

Tri-City Cardiovascular Institute Inc

  • Cardiovascular Disease Physician
  • Pasco, WA
National Provider Identifier
1164754412
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00030872 Issued in WA
Legal business name
TRI-CITY CARDIOVASCULAR INSTITUTE INC
Practice address
1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195
Phone
(509) 547-2949
Fax
(509) 547-2004
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Venkataraman Sambasivan, M.D., FACC
Title
President
Phone
(509) 547-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD00030872 WA Primary

Addresses

Primary practice location

1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195

Mailing address

1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195
Phone (509) 547-2949

Other identifiers 1

IdentifierTypeStateIssuer
7051089MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1164754412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE STE 295",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014195",
            "telephone_number": "509-547-2949",
            "fax_number": "509-547-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE STE 295",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014195",
            "telephone_number": "509-547-2949",
            "fax_number": "509-547-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY CARDIOVASCULAR INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "SAMBASIVAN",
        "authorized_official_first_name": "VENKATARAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-547-2949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00030872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7051089",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.