San Antonio Vascular Specialists Corp

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

SAN ANTONIO VASCULAR SPECIALISTS CORP

Practice address

9819 Huebner Rd BLDG 4
San Antonio, TX 78240-3253

Phone

(210) 761-8775

Fax

(210) 519-0216

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Yury Gampel

Title

Manager

Phone

(818) 262-6423

Specialties & licenses 2

Addresses

Other names 1

• Modern Vascular Doing business as

Locations

Practitioners 1

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

• Mark S Kipnes, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Antonio, TX
  • NPI 1376501965
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1093371163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD STE 102-587",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "818-880-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9819 HUEBNER RD BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403253",
            "telephone_number": "210-761-8775",
            "fax_number": "210-519-0216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782124768",
            "country_code": "US",
            "telephone_number": "210-640-7909",
            "fax_number": "210-907-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN ANTONIO VASCULAR SPECIALISTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "GAMPEL",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-262-6423"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Vascular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Antonio Vamc
• San Antonio Vamc
• San Antonio Vamc
• San Antonio Vamc
• San Antonio Vascular and Endovascular Clinic PLLC
• San Antonio VI Enterprises, L.L.C.
• San Antonio Voice and ENT Institute, PLLC
• San Antonio Weightloss LLC
• San Antonio Weightloss LLC
• San Antonio Wisdom Teeth, PLLC

• Vascular & Interventional Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.