California Vein & Laser Center Medical Clinic Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G27007 Issued in CA

Legal business name

CALIFORNIA VEIN & LASER CENTER MEDICAL CLINIC INC.

Practice address

7335 N 1St St Ste 103
Fresno, CA 93720-2968

Phone

(559) 438-2800

Fax

(559) 438-8163

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Montague, MDNPI 1649281395

Title

President

Phone

(559) 438-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Paul Roger Montague, MD

  • Specialist
  • Fresno, CA
  • NPI 1649281395
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1154519007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202968",
            "telephone_number": "559-438-2800",
            "fax_number": "559-438-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202968",
            "telephone_number": "559-438-2800",
            "fax_number": "559-438-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA VEIN & LASER CENTER MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-438-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G27007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California State University Fresno Foundation
• California Surgical Medical Clinics Inc. (Advanced Surgical Clinics)
• California Surgical Medical Clinics Inc. (Advanced Cosmetic & Aesthetic Surgery Center)
• California Surgical Medical Clinics Inc.
• California Telemedicine Associates, P.C.
• Californiahomehealth
• Calivance DME LLC
• Thomas Calkins
• Cynthia Renee Callaghan, LCSW
• Randy James Callahan, P.A.

• Specialist in Fresno, CA
• Providers in Fresno, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.