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SAN TAN CARDIOVASCULAR CENTER LLC NPI 1205150026


NPI Information

NPI: 1205150026
Provider Name: SAN TAN CARDIOVASCULAR CENTER, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D1086730

Address:
6740 S KINGS RANCH RD
SUITE 103
GOLD CANYON, AZ
ZIP 85118
Phone: (480) 543-1525
Get Directions

SAN TAN CARDIOVASCULAR CENTER, LLC is an internal medicine in Gold Canyon, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SAN TAN CARDIOVASCULAR CENTER, LLC NPI is 1205150026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6740 S KINGS RANCH RD
SUITE 103
GOLD CANYON, AZ
ZIP 85118-925
Phone: (480) 543-1525

The provider's authorized official is Dottie Rankin .
The authorized official title is Office Supervisor and has the following contact phone number (480) 632-1577.

The CLIA number assigned to this NPI record is 03D1086730 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 5/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease25431ARIZONANo
2207RI0200XInternal MedicineInfectious Disease40956ARIZONANo
3363AM0700XPhysician AssistantMedical3560ARIZONANo
4207R00000XInternal Medicine49056ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528020377OTHERARIZONANPI
21548438716OTHERARIZONANPI
3G51029MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.