Chandler Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

32864 Issued in AZ

Legal business name

CHANDLER MEDICAL CENTER INC

Practice address

594 N Arizona Ave
Suite1
Chandler, AZ 85225-5054

Phone

(480) 963-4129

Fax

(480) 963-4022

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Vagan Mikalian

Title

President

Phone

(480) 963-4129

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail A Bargan, MD

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1790766533
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295876258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 N ARIZONA AVE STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852255054",
            "telephone_number": "480-963-4129",
            "fax_number": "480-963-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 N ARIZONA AVE",
            "address_2": "SUITE1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852255054",
            "telephone_number": "480-963-4129",
            "fax_number": "480-963-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKALIAN",
        "authorized_official_first_name": "VAGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-963-4129"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "32864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Implants & Periodontics, LLC
• Chandler Kidiatric Dental
• Chandler Kidtastic Dental LLC
• Chandler Laser & Cosmetic Dentistry LLC
• Chandler MC I LLC
• Chandler Medical Center, LLC
• Chandler Medical PLLC
• Chandler Medical Supply, Inc.
• Chandler Modern Dentistry and Orthodontics, LLP
• Chandler Neurohospitalists, PLC

• All providers in Chandler, AZ
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.