Cardio Care Practice LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A35065 Issued in AZ

Legal business name

CARDIO CARE PRACTICE LLC

Practice address

6119 N Pinchot Rd
Tucson, AZ 85750-1297

Phone

(520) 303-4572

NPI assigned

Jul 18, 2015

Last updated

Jul 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Reza Movahed Shariat Panahi, MD/ PH.DNPI 1578574232

Title

Manager

Phone

(949) 400-0091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, UT2 enrollments

Enrollment records 2

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.

• Mohammad Reza Movahed Shariat Panahi, MD, PHD

  • Interventional Cardiology Physician
  • Durango, CO
  • NPI 1578574232

  AZ, UT

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1669856795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 NORTH PINCHOT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85750",
            "telephone_number": "520-303-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 N PINCHOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501297",
            "telephone_number": "520-303-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO CARE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "MOVAHED SHARIAT PANAHI",
        "authorized_official_first_name": "MOHAMMAD REZA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-400-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD/ PH.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "A35065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primarosa A Cardenas, FNP
• Sandra Lorena Cardenas, CRNA
• Mason Donald Carder
• Cardiac Fitness and Recovery
• Holly Worley Cardinal, M.S., CCC-SLP
• Cardiosom, LLC (CardioSom of Tucson)
• Elba C. Cardona, MED
• Susan Musick Cardona, FNP
• Janette Deanna Cardwell, LCSW
• Daniela Cecilia Cardy, PHARM D.

• Health Maintenance Organization in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Health Maintenance Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.