Organization Active NPI

Jana Heart Center PC

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1417995366
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13578 Issued in AZ
Legal business name
JANA HEART CENTER PC
Practice address
5620 W Thunderbird Rd
Ste E-1
Glendale, AZ 85306-4651
Phone
(602) 978-0154
Fax
(602) 978-2797
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mr. Dipak Kumar Jana, MD
Title
President
Phone
(602) 978-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 13578 AZ Primary

Addresses

Primary practice location

5620 W Thunderbird Rd
Ste E-1
Glendale, AZ 85306-4651

Mailing address

5620 W Thunderbird Rd
Ste E-1
Glendale, AZ 85306-4651
Phone (602) 978-0154

Other identifiers 2

IdentifierTypeStateIssuer
WCFKQOtherAZSUN HEALTH PHYSICIANS
251091MedicaidAZ

Other names 1

  • Dipak K Jana MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1417995366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "STE E-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064651",
            "telephone_number": "602-978-0154",
            "fax_number": "602-978-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD",
            "address_2": "STE E-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064651",
            "telephone_number": "602-978-0154",
            "fax_number": "602-978-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA HEART CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "JANA",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-978-0154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "13578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUN HEALTH PHYSICIANS",
            "identifier": "WCFKQ",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251091",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dipak K Jana MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.