Vein Center of Arizona

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

VEIN CENTER OF ARIZONA

Practice address

2603 S 4TH Ave
Yuma, AZ 85364-7256

Phone

(928) 726-8346

Fax

(888) 418-8515

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Paul W Larson, MDNPI 1598999609

Title

Physician

Phone

(928) 750-8975

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul William Larson, MD

  • Phlebology Physician
  • Yuma, AZ
  • NPI 1598999609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1073929121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647256",
            "telephone_number": "928-750-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647256",
            "telephone_number": "928-726-8346",
            "fax_number": "888-418-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-750-8975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "41014",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VCG Arizona LLC
• Vega Medical Services PLLC
• Ivan Horacio Vega, FNP
• Jose Luis Vega III, M.D.
• Tabitha Vega, EMT
• Sandra Veitch, RD
• Claudia Maria Velarde, M.D.
• Vance A Velardez, M. ED, SLP-A
• Perla R Velazquez, DDS
• Yesenia Velazquez, L.M.T

• Phlebology Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Phlebology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.