Active NPI
Imperial Vascular and Wound Care Specialists
- Vascular Surgery Physician
- El Centro, CA
National Provider Identifier
1083568638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- IMPERIAL VASCULAR AND WOUND CARE SPECIALISTS
- Practice address
- 441 W State St
El Centro, CA 92243-3021 - Phone
- (760) 683-2199
- NPI assigned
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar Tahir, MD
- Title
- President
- Phone
- (760) 515-6260
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary | ||
| Podiatrist | 213E00000X |
Addresses
Primary practice location
441 W State St
El Centro, CA 92243-3021
Mailing address
18092 Wika Rd Ste 220
Apple Valley, CA 92307-2132
Phone (760) 515-6260
Other practice location 1
3633 Camino Del Rio S Ste 300
San Diego, CA 92108-4014
Phone (760) 683-2199
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1083568638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18092 WIKA RD STE 220",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072132",
"telephone_number": "760-515-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 W STATE ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433021",
"telephone_number": "760-683-2199"
}
],
"practiceLocations": [
{
"address_1": "3633 Camino Del Rio S Ste 300",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921084014",
"country_code": "US",
"telephone_number": "760-683-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IMPERIAL VASCULAR AND WOUND CARE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "TAHIR",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-515-6260",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.