Active NPI
Conrad Massimo Vial, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A60823
- Practice address
- 1100 Van Ness Ave
San Francisco, CA 94109-6978 - Phone
- (415) 600-5780
- Fax
- (650) 853-2929
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A60823 | CA | Primary |
Addresses
Primary practice location
1100 Van Ness Ave
San Francisco, CA 94109-6978
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Stanford University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2900 Whipple Ave
Suite 225
Redwood City, CA 94062-2851
Phone (650) 853-5745
Hospital & facility affiliations
- El Camino Health
- Peninsula Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60823 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
1501 Trousdale Dr
Fl 2BLDGB
Burlingame, CA 94010
1501 Trousdale Dr
Bldg B
Burlingame, CA 94010
Phone (650) 652-8787
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
20410 Town Center Ln
Ste F150
Cupertino, CA 95014
Phone (408) 523-3460
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174
795 El Camino Real
#1112
Palo Alto, CA 94301
87 Encina Ave
Palo Alto, CA 94301
Phone (650) 853-2975
87 Encina Ave
Fl 1
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
2900 Whipple Ave
Ste 210
Redwood City, CA 94062
Phone (650) 364-3488
2900 Whipple Ave
Ste 225
Redwood City, CA 94062
Phone (650) 306-0800
301 Industrial Rd
Fl 2
San Carlos, CA 94070
Phone (650) 596-4030
1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760
1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
1575 Soquel Dr
Ste C
Santa Cruz, CA 95065
Phone (831) 458-6240
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- cvial7336@hisp.ehr.sutterhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1083726699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VAN NESS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096978",
"telephone_number": "415-600-5780",
"fax_number": "650-853-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIAL",
"first_name": "CONRAD",
"middle_name": "MASSIMO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A60823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.