Organization Active NPI

Cardiovascular Consultants, LTD

  • Medical Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1669634481
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CARDIOVASCULAR CONSULTANTS, LTD
Practice address
9100 N 2ND St
Suite 321
Phoenix, AZ 85020
Phone
(602) 870-1789
Fax
(602) 870-8431
NPI assigned
Jul 2, 2008
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Andrei Damian, MDNPI 1679579346
Title
President
Phone
(602) 867-8644

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

9100 N 2ND St
Suite 321
Phoenix, AZ 85020

Mailing address

PO Box 98819
Las Vegas, NV 89193
Phone (602) 494-3659

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2308801Cardiovascular Consultants, LTD9100 N 2ND St Ste 321, Phoenix, AZ 85020Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cardiovascular Consultants10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the 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, 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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1669634481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98819",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89193",
            "telephone_number": "602-494-3659",
            "fax_number": "602-867-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST",
            "address_2": "SUITE 321",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-870-1789",
            "fax_number": "602-870-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "DAMIAN",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-867-8644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.