NPIMap

Organization Active NPI

The Vascular Medical Center Inc

  • Specialist
  • El Centro, CA
National Provider Identifier
1053336701
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE VASCULAR MEDICAL CENTER INC
Practice address
1550 Pepper Dr
Suite a
El Centro, CA 92243-4165
Phone
(760) 353-2341
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allan Howard Goodman, MDNPI 1407061039
Title
President
Phone
(858) 292-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1550 Pepper Dr
Suite a
El Centro, CA 92243-4165

Mailing address

1219 Hidden Mountain Dr
El Cajon, CA 92019-3640
Phone (858) 292-5151

National Provider Directory

National Provider Directory

Locations

1745 S Imperial Ave
Ste B
El Centro, CA 92243

1745 S Imperial Ave
#B
El Centro, CA 92243
Phone (760) 353-2341

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1053336701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 HIDDEN MOUNTAIN DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193640",
            "telephone_number": "858-292-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PEPPER DR",
            "address_2": "SUITE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434165",
            "telephone_number": "760-353-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VASCULAR MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-292-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.