San Tan Cardiovascular Center LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25431 Issued in AZ

Legal business name

SAN TAN CARDIOVASCULAR CENTER LLC

Practice address

6859 E Rembrandt Ave
Suite 117
Mesa, AZ 85212-3628

Phone

(480) 390-3773

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Zelalem Yilma, MDNPI 1164421251

Title

Owner

Phone

(480) 632-1577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• San Tan Cardiovascular Center, LLC

  • Internal Medicine Physician
  • Gold Canyon, AZ
  • NPI 1205150026

  O20080603000052

  Same enrollment
• San Tan CVC Chandler

  dba San Tan Cardiovasular Center

  • Cardiovascular Disease Physician
  • Chandler, AZ
  • NPI 1639567514

  O20080603000052

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

San Tan Cardiovascular CNTR3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• San Tan Cardiovascular Center, LLC

  • Internal Medicine Physician
  • Gold Canyon, AZ
  • NPI 1205150026
  NPD tax ID
• San Tan CVC Chandler

  dba San Tan Cardiovasular Center

  • Cardiovascular Disease Physician
  • Chandler, AZ
  • NPI 1639567514
  NPD tax ID

Locations

Practitioners 7

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

• Zelalem Yilma, M.D.

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1164421251
  Medicare reassignment Care Compare group NPD Authorized official
• Elena Carretta

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1326412388
  Medicare reassignment Care Compare group NPD
• Christine Elizabeth Claybrook

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1306356746
  Medicare reassignment NPD
• Britany R Kormos, NP-C

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1558617407
  Medicare reassignment NPD
• Philo A Rogers

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1841371572
  Medicare reassignment NPD
• Shelly Navato Capps

  • Family Medicine Physician
  • Maryland Heights, MO
  • NPI 1043667371

  AZ

  Medicare reassignment NPD (past)
• Chung Luc, NP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1861191710
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1548438716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "SUIT 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628",
            "telephone_number": "480-632-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "SUITE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628",
            "telephone_number": "480-390-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN CARDIOVASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "YILMA",
        "authorized_official_first_name": "ZELALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-632-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "25431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Soesbe, O.D., P.C. (DBA Golden Hills Optical)
• Shane Samuel
• India Samuels
• Delaney Samuelson
• San Tan Behavioral Health SVCS
• San Tan Internal Medicine, PLLC
• San Tan Mobile Diagnostics LLC
• San Tan Psychiatry PLLC (San)
• Sana Physical Therapy, LLC (Advanced Energy Therapy)
• Amelia Joy Sanborn, RN

• Cardiovascular Disease Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.