Organization Active NPI

NA Vein Group LLC

  • Phlebology Physician
  • Phoenix, AZ
National Provider Identifier
1073138228
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
NA VEIN GROUP LLC
Practice address
1641 E Osborn Rd Ste 4
Phoenix, AZ 85016-7146
Phone
(480) 630-2886
Fax
(480) 378-8124
NPI assigned
Jun 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Todd Vanduzer
Title
Manager
Phone
(760) 521-4721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

1641 E Osborn Rd Ste 4
Phoenix, AZ 85016-7146

Mailing address

1641 E Osborn Rd Ste 4
Phoenix, AZ 85016-7146
Phone (480) 630-2886

Other practice location 1

9059 W Lake Pleasant Pkwy Ste C320
Peoria, AZ 85382-8394
Phone (480) 630-2559

Other practice location 2

10210 N 92nd St Ste 103
Scottsdale, AZ 85258-4523
Phone (480) 630-2886

Other practice location 3

4140 N 108th Ave
Phoenix, AZ 85037-5466
Phone (480) 630-2559

Other practice location 4

4722 E Ray Rd Ste 5
Phoenix, AZ 85044-6226
Phone (480) 630-2559

Other practice location 5

5656 S Power Rd Ste 132
Gilbert, AZ 85295-8490
Phone (480) 630-2559

Other practice location 6

4824 E Baseline Rd Ste 132
Mesa, AZ 85206-4679
Phone (480) 630-2886

Other practice location 7

17014 W Bell Rd Ste 103
Surprise, AZ 85374-2479
Phone (480) 630-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210128000401 AZ Part B Supplier - Clinic/Group Practice 1557775863 Receives reassigned benefits from 8 practitioners
Practice locations: Mesa, AZ; Chandler, AZ; Scottsdale, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

2860 S Alma School Rd
Ste 25
Chandler, AZ 85286
Phone (480) 630-2886

4111 E Valley Auto Dr
Ste 210
Mesa, AZ 85206

1641 E Osborn Rd
Ste 4
Phoenix, AZ 85016
Phone (480) 630-2886

4140 N 108th Ave
Phoenix, AZ 85037

3226 N Miller Rd
Ste 5
Scottsdale, AZ 85251
Phone (480) 214-4970

3226 N Miller Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 770-5444

10210 N 92nd St
Ste 103
Scottsdale, AZ 85258
Phone (480) 661-4200

Practitioners & affiliated clinicians

Practitioners 8

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": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1073138228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E OSBORN RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167146",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9059 W Lake Pleasant Pkwy Ste C320",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828394",
            "country_code": "US",
            "telephone_number": "480-630-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 N 92nd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584523",
            "country_code": "US",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 N 108th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375466",
            "country_code": "US",
            "telephone_number": "480-630-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4722 E Ray Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850446226",
            "country_code": "US",
            "telephone_number": "480-630-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5656 S Power Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958490",
            "country_code": "US",
            "telephone_number": "480-630-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4824 E Baseline Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064679",
            "country_code": "US",
            "telephone_number": "480-630-2886",
            "fax_number": "480-378-8124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17014 W Bell Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742479",
            "country_code": "US",
            "telephone_number": "480-630-2559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NA VEIN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "VANDUZER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-521-4721"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.