Organization Active NPI

Corazon Cardiac & Vascular Institute, PLLC

  • Cardiovascular Disease Physician
  • Mesa, AZ
National Provider Identifier
1184029993
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CORAZON CARDIAC & VASCULAR INSTITUTE, PLLC
Practice address
116 N Lindsay Rd
Ste 7
Mesa, AZ 85213-9201
Phone
(480) 786-9685
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Pridhvi R Yelamanchili, MDNPI 1790730604
Title
Owner
Phone
(480) 786-9685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

116 N Lindsay Rd
Ste 7
Mesa, AZ 85213-9201

Mailing address

PO Box 9028
Mesa, AZ 85214-9028
Phone (480) 786-9685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1184029993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9028",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852149028",
            "telephone_number": "480-786-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N LINDSAY RD",
            "address_2": "STE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139201",
            "telephone_number": "480-786-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON CARDIAC & VASCULAR INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "YELAMANCHILI",
        "authorized_official_first_name": "PRIDHVI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-786-9685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "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 Oct 23, 2014; 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.