San Diego Vein Institute, a Professional Corporation

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A86156 Issued in CA

Legal business name

SAN DIEGO VEIN INSTITUTE, A PROFESSIONAL CORPORATION

Practice address

336 Encinitas Blvd
Suite 130
Encinitas, CA 92024-8707

Phone

(760) 944-9263

NPI assigned

Jun 11, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Van L Cheng, MDNPI 1548391667

Title

Ceo and Pres

Phone

(760) 944-9263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Van Le Cheng, MD

  • Vascular Surgery Physician
  • Encinitas, CA
  • NPI 1548391667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1134500531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 ENCINITAS BLVD",
            "address_2": "SUITE 130",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920248707",
            "telephone_number": "760-944-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 ENCINITAS BLVD",
            "address_2": "SUITE 130",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920248707",
            "telephone_number": "760-944-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO VEIN INSTITUTE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO AND PRES",
        "authorized_official_telephone_number": "760-944-9263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A86156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.