SAN TAN CARDIOVASULAR CENTER
NPI 1639567514
Internal Medicine - Cardiovascular Disease in Chandler, AZ

Active since December 31, 2014CLIA 03D2034153 · Waiver
3980 E RIGGS RD STE 2, CHANDLER, AZ 85249(480) 895-0784 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About San Tan Cardiovasular Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN TAN CARDIOVASULAR CENTER (NPI 1639567514) is a healthcare organization registered as a cardiovascular disease in Chandler, Arizona and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Zelalem Yilma, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639567514
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSAN TAN CVC CHANDLER
Location Address3980 E RIGGS RD STE 2Chandler, AZ 85249-5413
Mailing Address3980 E Riggs Rd Ste 2Chandler, AZ 85249-5413 · (480) 895-0784
Organization SubpartYesParent: San Tan Cardiovascular Center
Authorized OfficialZelalem YilmaMedical Director · (480) 390-3773
Enumeration DateDecember 31, 2014
NPI 1639567514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AZ · 25431
Definition
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.
3980 E RIGGS RD STE 2, Chandler, AZ 85249

Other Names 1

Doing Business AsSan Tan Cardiovasular Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 03D2034153

San Tan Cardiovascular Center · Chandler, AZ
Active · expires Dec 18, 2027
CLIA Number03D2034153
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorZelalem Yilma
Laboratory Phone(480) 895-0784
Laboratory LocationSan Tan Cardiovascular Center3980 E Riggs Rd, Bldg 4, Chandler, AZ 85249
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Cvc Chandler's NPI number?

The NPI number for San Tan Cvc Chandler is 1639567514. It was assigned to this organization in the NPPES registry on December 31, 2014. The provider is doing business as San Tan Cardiovasular Center.

Where is San Tan Cvc Chandler located?

San Tan Cvc Chandler is located at 3980 E Riggs Rd Ste 2, Chandler, AZ 85249. The listed phone number is (480) 895-0784.

What is San Tan Cvc Chandler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does San Tan Cvc Chandler hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2034153) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Tan Cvc Chandler was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.