Vip Surgicare, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AAAASF2911 Issued in CA

Legal business name

VIP SURGICARE, LLC

Doing business as

VIP Surgicare

Practice address

15047 Los Gatos Blvd.
Suite 150
Los Gatos, CA 95032

Phone

(408) 358-7000

Fax

(408) 358-7005

NPI assigned

Nov 10, 2010

Last updated

Jan 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirk Anthony Churukian, MDNPI 1780715409

Title

Medical Director

Phone

(408) 358-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VIP Surgicare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Vip Surgicare LLCCCN 05C0002031

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orthonorcal Inc

  • Orthopaedic Surgery Physician
  • Los Gatos, CA
  • NPI 1033579529

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Anthony Churukian, MD

  • Plastic Surgery Physician
  • Palo Alto, CA
  • NPI 1780715409
  NPD Authorized official
• David Rodolfo Soto, MD

  • Vascular & Interventional Radiology Physician
  • Hayward, CA
  • NPI 1386885382
  NPD
• Shaghig Tchaparian, PA-C

  • Physician Assistant
  • Los Gatos, CA
  • NPI 1851090948
  NPD
• Chelsea Jennan Hendow, MD

  • Orthopaedic Surgery of the Spine Physician
  • Los Gatos, CA
  • NPI 1568824860
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1053612853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD.",
            "address_2": "SUITE 150",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-7000",
            "fax_number": "408-358-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 LOS GATOS BLVD.",
            "address_2": "SUITE 150",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-358-7000",
            "fax_number": "408-358-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP SURGICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "CHURUKIAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-358-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "AAAASF2911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA129324",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Surgicare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIP Surgicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poonam Vijayvargiya, MD
• Jules Manuel Villanueva-Castano
• Arun Villivalam, M.D,
• Jyotsna S Vincent, MD
• Karen Anne Vincent, RDHAP
• Vision Quest Spine and Sports Clinic
• Visioncare of California (sterling visioncare)
• Visit Healthcare
• Visit Healthcare
• Vital Health Institute

• Ambulatory Surgical Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.