Organization Active NPI

Heart Care Center PC

  • Cardiovascular Disease Physician
  • Bullhead City, AZ
National Provider Identifier
1275785156
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36851 Issued in AZ
Legal business name
HEART CARE CENTER PC
Practice address
2020 Silver Creek Rd
Suite 102 C
Bullhead City, AZ 86442-8476
Phone
(928) 704-5570
Fax
(928) 704-5572
NPI assigned
Oct 22, 2008
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Mahender K GabaNPI 1104896174
Title
President
Phone
(928) 704-5570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36851 AZ Primary

Addresses

Primary practice location

2020 Silver Creek Rd
Suite 102 C
Bullhead City, AZ 86442-8476

Mailing address

2020 Silver Creek Rd
Suite 102 C
Bullhead City, AZ 86442-8476
Phone (928) 704-5570

National Provider Directory

National Provider Directory

Locations

2020 Silver Creek Rd
Ste C102
Bullhead City, AZ 86442
Phone (928) 704-5570

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1275785156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "SUITE 102 C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-5570",
            "fax_number": "928-704-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "SUITE 102 C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-5570",
            "fax_number": "928-704-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "GABA",
        "authorized_official_first_name": "MAHENDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-704-5570"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "36851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.