Vivek Bansal, M.D.
Individual provider Active NPI Plastic Surgery Physician · Danville, CA
NPI 1124232582 · NPPES record last updated Aug 2, 2007
Key facts
- NPI
- 1124232582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- A99986 (CA)
- Practice address
- 360 Rose Ave
Danville, CA 94526-3320 - Phone
- (925) 389-7246
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99986 | CA | MD | Plastic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A99986 | CA | Yes |
Addresses
Primary practice location
360 Rose Ave
Danville, CA 94526-3320
Mailing address
360 Rose Ave
Danville, CA 94526-3320
Phone (925) 389-7246
Other providers in Danville, CA
- Diane Lindsey Baggett
- Jontae Bailey
- Asha Kiran Bajaj
- Paul Lawrence Bancroft
- Kiersten Banke
- Carol Ann Banyas
- Isabel Barba Perez
- Barman & Sargent Inc
- Carol Marie Barrett
- Jillian G Barrett
All providers in Danville, CA · Plastic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.