Mission Vascular Interventional Group

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MISSION VASCULAR INTERVENTIONAL GROUP

Practice address

2000 Mowry Ave
Fremont, CA 94538-1716

Phone

(510) 608-6185

NPI assigned

May 29, 2020

Last updated

May 29, 2020By 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

Horng J Lin, MD

Title

Owner

Phone

(510) 608-6185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Ankur Ajay Doshi, MD

  • Vascular & Interventional Radiology Physician
  • Fremont, CA
  • NPI 1033508353
  Medicare reassignment Care Compare group NPD
• Nhi Vo, MD

  • Vascular & Interventional Radiology Physician
  • San Jose, CA
  • NPI 1376047985
  Medicare reassignment Care Compare group NPD
• Lauren Shui Sum Chan, MD

  • Vascular & Interventional Radiology Physician
  • Stanford, CA
  • NPI 1457640443
  Medicare reassignment NPD
• Horng Bruce J. Lin, M.D.

  • Vascular & Interventional Radiology Physician
  • Salinas, CA
  • NPI 1255395398
  Medicare reassignment NPD

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1073137782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4005",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928634005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-608-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VASCULAR INTERVENTIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "HORNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-608-6185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Hospitalist Medical Corporation
• Mission Peak Dental Care
• Mission Peak Orthopaedic Medical Group, Inc
• Mission Primary Care LLC
• Mission Surgery Center, Inc.
• Kevin Jeffrey Mitchell, MD
• Wendy Mitchell, RN
• Shikha Mittal
• Kathryn Xiaosha Miyamori
• Sudabeh Z Moavenian, DDS, MS

• Vascular & Interventional Radiology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.