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GOLDFIELD MEDICAL CLINICS LLC NPI 1861412686


NPI Information

NPI: 1861412686
Provider Name: GOLDFIELD MEDICAL CLINICS, LLC

Doing Business As: GOLDFIELD CARDIOVASCULAR INSTITUTE LLC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 03D2070856

Address:
7615 E BASELINE RD STE 101
MESA, AZ
ZIP 85209
Phone: (480) 962-0101
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GOLDFIELD MEDICAL CLINICS, LLC is a cardiovascular disease internal medicine in Mesa, AZ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GOLDFIELD MEDICAL CLINICS, LLC NPI is 1861412686. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Goldfield Cardiovascular Institute Llc.

The provider's business location address is:

7615 E BASELINE RD STE 101
MESA, AZ
ZIP 85209-000
Phone: (480) 962-0101
Fax: (480) 962-0202

The provider's authorized official is Shantha Kumar .
The authorized official title is Owner and has the following contact phone number (480) 962-0101.

The CLIA number assigned to this NPI record is 03D2070856 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 4/12/2024.


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 DiseaseYes

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
1376592OTHERARIZONAAHCCCS
2AZ 0742840OTHERARIZONABC/BS

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.