Organization Active NPI

Cardiac Clinic PC

  • Cardiovascular Disease Physician
  • Peoria, AZ
National Provider Identifier
1992743843
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11928 Issued in AZ
Legal business name
CARDIAC CLINIC PC
Practice address
13660 N 94TH Dr Ste C4
Peoria, AZ 85381-4841
Phone
(602) 615-5258
Fax
(602) 978-2797
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Mr. Raj Savajiyani, MD
Title
President
Phone
(602) 978-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 11928 AZ Primary

Addresses

Primary practice location

13660 N 94TH Dr Ste C4
Peoria, AZ 85381-4841

Mailing address

13660 N 94TH Dr Ste C4
Peoria, AZ 85381-4841
Phone (602) 978-0154

Other identifiers 2

IdentifierTypeStateIssuer
230251MedicaidAZ
WCFKQOtherAZSUN HEALTH PHYSICIANS

Other names 1

  • Raj Savajiyani MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1992743843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE C4",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814841",
            "telephone_number": "602-978-0154",
            "fax_number": "602-978-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR STE C4",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814841",
            "telephone_number": "602-615-5258",
            "fax_number": "602-978-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "SAVAJIYANI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-978-0154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "11928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230251",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUN HEALTH PHYSICIANS",
            "identifier": "WCFKQ",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raj Savajiyani MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raj Savajiyani MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.