Organization Active NPI

Southwest Heart and Vascular Care, LTD.

  • Cardiovascular Disease Physician
  • Yuma, AZ
National Provider Identifier
1902071590
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
36740 Issued in AZ
Legal business name
SOUTHWEST HEART AND VASCULAR CARE, LTD.
Practice address
789 W 27TH St Ste 1
Yuma, AZ 85364-7207
Phone
(928) 344-8400
Fax
(928) 344-8412
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Noel Villanueva Gutierrez, M.D.NPI 1366475394
Title
Owner
Phone
(928) 344-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36740 AZ Primary

Addresses

Primary practice location

789 W 27TH St Ste 1
Yuma, AZ 85364-7207

Mailing address

789 W 27TH St Ste 1
Yuma, AZ 85364-7207
Phone (928) 344-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000583 AZ Part B Supplier - Clinic/Group Practice 1052478930 Receives reassigned benefits from 2 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

789 W 27th St
Ste 1
Yuma, AZ 85364
Phone (928) 344-8400

5550 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 995-2100

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1902071590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 W 27TH ST STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647207",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 W 27TH ST STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647207",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEART AND VASCULAR CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-344-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "36740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.