Individual provider Active NPI

Vincent Reginald Favor Narvaez, M.D.

  • Vascular Surgery Physician
  • Riverside, CA
National Provider Identifier
1053843862
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A184000 Issued in CA
Practice address
7300 Magnolia Ave
Riverside, CA 92504-3849
Phone
(888) 754-0626
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A184000 CA Primary

Addresses

Primary practice location

7300 Magnolia Ave
Riverside, CA 92504-3849

Mailing address

5880 Lochmoor Dr
Riverside, CA 92507-8506
Phone (562) 343-8014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510002723 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 3870863673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Un of California, Irvine, College of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Mission Surgical Clinic IncGroup PAC ID 1456313501, 6 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 206
Corona, CA 92882-2507
Phone (951) 278-8870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.27 of 100Reported as group
Quality
77.47
Improvement activities
40
Cost
57.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23
Leg revascularization (restoring blood flow)18
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Surgical Clinic, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Mission Surgical Center Inc Past Accepting new patients

Locations

16124 Kasota Rd
Apple Valley, CA 92307

805 E Mountain View St
Barstow, CA 92311
Phone (760) 256-5026

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

11332 Mountain View Ave
Ste D
Loma Linda, CA 92354
Phone (909) 496-3287

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

7300 Magnolia Ave
Riverside, CA 92504
Phone (951) 278-8870

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDFHCA/Endpoint/DDFHCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1053843862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 LOCHMOOR DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078506",
            "telephone_number": "562-343-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "888-754-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARVAEZ",
        "first_name": "VINCENT REGINALD",
        "middle_name": "FAVOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-10-10",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A184000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.