Organization Active NPI

Myo Cardiovascular Clinic LLC.

  • Medical Specialty Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1912218207
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD2005-0713 Issued in NM
Legal business name
MYO CARDIOVASCULAR CLINIC LLC.
Practice address
1596 San Mateo LN
Santa Fe, NM 87505-3918
Phone
(505) 670-3077
Fax
(505) 212-0229
NPI assigned
Jul 1, 2010
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Armin Foghi, MD,PHD
Title
Medical Director
Phone
(505) 220-5753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD2005-0713 NM Primary

Addresses

Primary practice location

1596 San Mateo LN
Santa Fe, NM 87505-3918

Mailing address

1596 San Mateo LN
Santa Fe, NM 87505-3918
Phone (505) 670-3077

Other identifiers 2

IdentifierTypeStateIssuer
1912218207OtherNMORGANIZATIONAL NPI
1952358376OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1740 Grande Blvd SE
Ste D
Rio Rancho, NM 87124
Phone (505) 892-0402

1596 San Mateo Ln
Santa Fe, NM 87505
Phone (505) 670-3077

Practitioners & affiliated clinicians

Practitioners 2

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": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1912218207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 SAN MATEO LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053918",
            "telephone_number": "505-670-3077",
            "fax_number": "505-212-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 SAN MATEO LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053918",
            "telephone_number": "505-670-3077",
            "fax_number": "505-212-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYO CARDIOVASCULAR CLINIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "FOGHI",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-220-5753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NM",
            "license": "MD2005-0713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1912218207",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952358376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.