Organization Active NPI

Arizona Interventional Associates LLC

  • Vascular & Interventional Radiology Physician
  • Sun City, AZ
National Provider Identifier
1689418436
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ARIZONA INTERVENTIONAL ASSOCIATES LLC
Practice address
9425 W Bell Rd
Sun City, AZ 85351-1300
Phone
(623) 399-6880
Fax
(623) 322-1504
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Kriston Bertelsen
Title
Project Manager
Phone
(623) 399-6880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088F0040X

Addresses

Primary practice location

9425 W Bell Rd
Sun City, AZ 85351-1300

Mailing address

9425 W Bell Rd
Sun City, AZ 85351-1300
Phone (623) 399-6880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1689418436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511300",
            "telephone_number": "623-399-6880",
            "fax_number": "623-322-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511300",
            "telephone_number": "623-399-6880",
            "fax_number": "623-322-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTERVENTIONAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "BERTELSEN",
        "authorized_official_first_name": "KRISTON",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "623-399-6880"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.