Cardiac Surgery Center of Arizona LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CARDIAC SURGERY CENTER OF ARIZONA LLC

Practice address

20199 N 67TH Ave
Glendale, AZ 85308-7001

Phone

(623) 561-9002

Fax

(833) 464-3265

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Rahul MalhotraNPI 1629079876

Title

Authorized Official

Phone

(480) 765-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Cardiac Surgery Center of Arizona LLCCCN 03C0001473

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25130/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Rahul Malhotra, MD

  • Interventional Cardiology Physician
  • Glendale, AZ
  • NPI 1629079876
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1740901396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20199 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087001",
            "telephone_number": "623-561-9002",
            "fax_number": "833-464-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20199 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087001",
            "telephone_number": "623-561-9002",
            "fax_number": "833-464-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC SURGERY CENTER OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-765-2800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Caran, MS, LAC
• Jacqueline Carbajal
• Joe Rigoberto Carbajal, AT
• Kelly Jeanne Carbello, MSW
• Elaine Carder
• Xavier Ryon Cardinal, DPT
• Cardiovascular Consultants, LTD
• Cardiovascular Consultants, LTD
• Cardiovascular Consultants, LTD
• Cardiovascular Consultants, LTD

• Ambulatory Surgical Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.