Organization Active NPI

Kohala Cardiovascular Interventions LLC

Doing business as Ohana Cardiology

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
National Provider Identifier
1932831641
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KOHALA CARDIOVASCULAR INTERVENTIONS LLC
Doing business as
Ohana Cardiology
Practice address
1910 S Stapley Dr Ste 114
Mesa, AZ 85204-6675
Phone
(480) 955-0900
Fax
(480) 955-0800
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Christina Diaz
Title
Billing Manager
Phone
(480) 565-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1910 S Stapley Dr Ste 114
Mesa, AZ 85204-6675

Mailing address

3420 S Mercy Rd Ste 300
Gilbert, AZ 85297-0425
Phone (480) 565-6751

Other names 1

  • Ohana Cardiology Doing business as

National Provider Directory

National Provider Directory

Locations

1910 S Stapley Dr
Ste 114
Mesa, AZ 85204
Phone (480) 955-0900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1932831641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 300",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970425",
            "telephone_number": "480-565-6751",
            "fax_number": "480-955-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046675",
            "telephone_number": "480-955-0900",
            "fax_number": "480-955-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHALA CARDIOVASCULAR INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-565-6751"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohana Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.