Organization Active NPI

Orange County Vascular and Endovascular Surgery Center Inc

  • Medical Specialty Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1164830998
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A73996 Issued in CA
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

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Son T Duong, M.DNPI 1982880928
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.