Active NPI
Orange County Vascular and Endovascular Surgery Center Inc
- Medical Specialty Clinic/Center
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A73996
- Legal business name
- ORANGE COUNTY VASCULAR AND ENDOVASCULAR SURGERY CENTER INC
- Practice address
- 19582 Beach Blvd Ste 270D
Huntington Beach, CA 92648-5923 - Phone
- (714) 430-1414
- NPI assigned
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Son T Duong, M.D
- Title
- President
- Phone
- (714) 430-1414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A73996 | CA | Primary |
Addresses
Primary practice location
19582 Beach Blvd Ste 270D
Huntington Beach, CA 92648-5923
Mailing address
11190 Warner Ave Ste 301
Fountain Valley, CA 92708-4047
Phone (714) 430-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090707000375 | CA | Part B Supplier - Clinic/Group Practice | 5698834281 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fountain Valley, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Vascular Surgery Physician
- Fountain Valley, CA
- NPI 1285893107
O20090707000375
National Provider Directory
National Provider DirectoryLocations
11190 Warner Ave
Ste 301
Fountain Valley, CA 92708
Phone (714) 430-1414
19582 Beach Blvd
Ste 270D
Huntington Beach, CA 92648
Phone (714) 430-1414
19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 232-8833
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Vascular Surgery Physician
- Fountain Valley, CA
- NPI 1982880928
-
- Physician Assistant
- Santa Ana, CA
- NPI 1215745419
-
- Physician Assistant
- Fullerton, CA
- NPI 1619571742
-
- Physician Assistant
- Fountain Valley, CA
- NPI 1982410684
-
- Surgery Physician
- Riverside, CA
- NPI 1831531565
-
- Physician Assistant
- Lakewood, CA
- NPI 1598392466
-
- Physician Assistant
- Garden Grove, CA
- NPI 1558958710
-
- Physician Assistant
- Goodyear, AZ
- NPI 1295458149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1164830998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11190 WARNER AVE STE 301",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084047",
"telephone_number": "714-430-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19582 BEACH BLVD STE 270D",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485923",
"telephone_number": "714-430-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE COUNTY VASCULAR AND ENDOVASCULAR SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "DUONG",
"authorized_official_first_name": "SON",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-430-1414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A73996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
- Orange County Recovery
- Orange County Speech Services
- Orange County Speech Services
- Orange County Surgery Center
- Orange County Urgent Care #3 Inc. (MedPost Urgent Care - Huntington Beach)
- Jon Stanley Orcher, DDS DOCTOR OF DENTAL
- Anthony Orea
- Karlos Z. Oregel, M.D.
- Matthew Todd Ormond, D.C.
- Richard Orozco
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.