Active NPI
Tri-City Cardiovascular Institute Inc
- Cardiovascular Disease Physician
- Pasco, WA
National Provider Identifier
1164754412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD00030872
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7051089 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI 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.