Organization Active NPI

Myo Cardiovascular Clinic

  • Specialist
  • Rio Rancho, NM
National Provider Identifier
1487024758
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD2005-0713 Issued in NM
Legal business name
MYO CARDIOVASCULAR CLINIC
Practice address
1790 Grande Blvd SE
Rio Rancho, NM 87124-1726
Phone
(505) 892-0402
Fax
(505) 892-5544
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Armin Foghi, MDNPI 1952358376
Title
MD
Phone
(505) 892-0402

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD2005-0713 NM Primary

Addresses

Primary practice location

1790 Grande Blvd SE
Rio Rancho, NM 87124-1726

Mailing address

1790 Grande Blvd SE
Rio Rancho, NM 87124-1726
Phone (505) 892-0402

Other identifiers 1

IdentifierTypeStateIssuer
61026751MedicaidNM

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": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1487024758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 GRANDE BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241726",
            "telephone_number": "505-892-0402",
            "fax_number": "505-892-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 GRANDE BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241726",
            "telephone_number": "505-892-0402",
            "fax_number": "505-892-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYO CARDIOVASCULAR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "FOGHI",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "505-892-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2005-0713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61026751",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.