JAVIER FORTUNATO CARDENAS (NPI# 1447445440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447445440 |
| Entity Type | Individual |
| Full Name | JAVIER FORTUNATO CARDENAS |
| Credential | M.D. |
| Practice Address |
222 W Thomas Rd Suite 304 Phoenix AZ 85013-4419 |
| Mailing Address |
222 W Thomas Rd #304 Phoenix AZ 85013 |
| Practice Telephone | 6024064323 |
| Mailing Telephone | 6024064323 |
| Mailing Fax Number | 6024063810 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
81042 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
36579 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 259914 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168859 | Javier De Jesus Cardenas | Family Medicine | 133 Pleasant St, Berlin, NH 03570-2006 | 2006-06-06 |
| Street Address |
222 W THOMAS RD SUITE 304 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760746 | Charles Phillip Daspit | Otolaryngology | 222 W Thomas Rd, Ste 114, Phoenix, AZ 85013-4420 | 2005-06-15 |
| 1467970988 | Anthony Joseph Bennett | Physician Assistant | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2017-09-05 |
| 1700328036 | Laurie-anne S. Campbell | Physical Therapist | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2016-11-17 |
| 1023492048 | Erin Piper | Psychologist | 222 W Thomas Rd, Suite 401, Phoenix, AZ 85013-4419 | 2015-07-20 |
| 1710366844 | Yvette Michelle Brown | Psychiatry & Neurology | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2015-05-21 |
| 1275947574 | Tiffany Meites | Psychologist | 222 W Thomas Rd, Suite 315, Phoenix, AZ 85013-4419 | 2014-06-13 |
| 1346653847 | Krista Hanson | Clinical Neuropsychologist | 222 W Thomas Rd, Suite 315, Phoenix, AZ 85013-4419 | 2014-06-03 |
| 1467864066 | Julie Alberty | Clinical Neuropsychologist | 222 W Thomas Rd, Suite 315, Phoenix, AZ 85013-4419 | 2014-05-30 |
| 1528488434 | Cassandra Erickson | Preventive Medicine | 222 W Thomas Rd, Phoenix, AZ 85013-4419 | 2014-04-17 |
| 1851689376 | Ramaswamy Kavitha Perumparaichallai | Clinical Neuropsychologist | 222 W Thomas Rd, Suite 401, Phoenix, AZ 85013-4419 | 2011-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900584 | Vinodh Narayanan | Psychiatry & Neurology | 3330 N 2nd St Ste 402, Phoenix, AZ 85012 | 2006-08-18 |
| 1871835918 | Jennifer Ashley Heim | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-03-26 |
| 1982946299 | Deepali D Eksambe | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2013-03-25 |
| 1881952794 | Jordana Fox Kensicki | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-04-28 |
| 1770849275 | Kavitha Tirumalasetti Karnik | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2012-04-09 |
| 1518250224 | Apnna - Arizona Pediatric Neurology & Neurogenetics Associates | Psychiatry & Neurology | 222 W Thomas Rd, Suite 406, Phoenix, AZ 85013-4419 | 2011-05-27 |
| 1396037644 | Brian Leonard Appavu | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-05-04 |
| 1255569976 | Beth Ann Haynes | Psychiatry & Neurology | 1919 E Thomas Rd, Ambulatory Building, Phoenix, AZ 85016-7710 | 2009-07-01 |
| 1922234392 | Varina Louise Boerwinkle | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2009-05-29 |
| 1356584759 | Ovictor Leo Roldan Tesoro | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2009-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.