Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC

Organization Cardiovascular Disease Physician · NPI 1760064885

Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC is a Cardiovascular Disease Physician in Glendale, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5859 W Talavi Blvd Ste 140
Glendale, AZ 85306-1871
Phone: (602) 806-0357
Fax: (623) 930-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1760064885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Van Horn — Center Director · (602) 806-0357
Other names Phase Surgery Center; Phase Surgery Center
NPI enumeratedApril 27, 2021
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address5859 W Talavi Blvd Ste 140, Glendale, AZ 85306-1871

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