Vivek Healthcare Associates

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

42907 Issued in AZ

Legal business name

VIVEK HEALTHCARE ASSOCIATES

Practice address

6421 E Le Marche Ave
Scottsdale, AZ 85254-2019

Phone

(602) 476-7399

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Saisridhar Boddupalli, MD

Title

Owner/Partner

Phone

(602) 476-7399

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1982020137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 E LE MARCHE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542019",
            "telephone_number": "602-476-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 E LE MARCHE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542019",
            "telephone_number": "602-476-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVEK HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "BODDUPALLI",
        "authorized_official_first_name": "SAISRIDHAR",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "602-476-7399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "42907",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "AZ",
            "license": "42907",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "42907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.