SAN TAN CARDIOVASCULAR CENTER, LLC
NPI 1205150026
Internal Medicine in Gold Canyon, AZ
About San Tan Cardiovascular Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN TAN CARDIOVASCULAR CENTER, LLC (NPI 1205150026) is a healthcare organization registered as an internal medicine in Gold Canyon, Arizona and active in the NPI registry since March 2010. The organization holds 2 active CLIA laboratory certificates and lists Dottie Rankin, Office Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Tan Cardiovascular Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to San Tan Cardiovascular Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D1086730
San Tan Cardiovascular Center · Mesa, AZCertificate of Waiver 03D2005437
San Tan Cardiovascular Center · Gold Canyon, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Tan Cardiovascular Center, LLC's NPI number?
The NPI number for San Tan Cardiovascular Center, LLC is 1205150026. It was assigned to this organization in the NPPES registry on March 23, 2010.
Where is San Tan Cardiovascular Center, LLC located?
San Tan Cardiovascular Center, LLC is located at 6740 S Kings Ranch Rd Suite 103, Gold Canyon, AZ 85118. The listed phone number is (480) 543-1525.
What is San Tan Cardiovascular Center, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is San Tan Cardiovascular Center, LLC enrolled in Medicare?
Yes. San Tan Cardiovascular Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Tan Cardiovascular Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to San Tan Cardiovascular Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Cardiovascular Disease (Cardiology) (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Tan Cardiovascular Center, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for San Tan Cardiovascular Center, LLC was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Tan Cardiovascular Center, Llc · NPI 1205150026
Internal Medicine organization in Gold Canyon, Arizona. Organization record, active in the CMS NPPES registry since March 23, 2010.
## Identity
- **NPI:** 1205150026 (Entity type: Organization)
- **Enumerated:** March 23, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Dottie Rankin, OFFICE SUPERVISOR
## Practice location
- **Address:** 6740 S KINGS RANCH RD, SUITE 103, Gold Canyon, AZ 85118-2925
- **Phone:** (480) 543-1525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Cardiovascular Disease (Cardiology) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2010
- **Other identifiers:** Other 1528020377 (AZ); Other 1548438716 (AZ); Medicare UPIN G51029 (AZ)
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205150026) · Data from the CMS NPPES public registry.