Organization Active NPI

California Neurovascular Specialists

  • Vascular Neurology Physician
  • Anaheim, CA
National Provider Identifier
1073200945
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
Legal business name
CALIFORNIA NEUROVASCULAR SPECIALISTS
Practice address
1211 W la Palma Ave Ste 7101211W
Anaheim, CA 92801-2815
Phone
(657) 888-9199
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Radoslav Raychev, MDNPI 1932346301
Title
Secretary
Phone
(415) 290-8683

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
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 7101211W
Anaheim, CA 92801-2815

Mailing address

PO Box 9
Lakewood, CA 90714-0009

National Provider Directory

National Provider Directory

Locations

1211 W La Palma Ave
Ste 7101211W
Anaheim, CA 92801
Phone (657) 888-9199

Practitioners & affiliated clinicians

Practitioners 1

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": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1073200945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907140009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 7101211W",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "657-888-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEUROVASCULAR SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "RAYCHEV",
        "authorized_official_first_name": "RADOSLAV",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "415-290-8683",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.