Active NPI
Myo Cardiovascular Clinic LLC.
- Medical Specialty Clinic/Center
- Santa Fe, NM
National Provider Identifier
1912218207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD2005-0713
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912218207 | Other | NM | ORGANIZATIONAL NPI |
| 1952358376 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1922041896
-
- Family Nurse Practitioner
- Peachtree City, GA
- NPI 1871521948
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.