Organization Active NPI

Synvesta Vascular Care

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1205512480
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SYNVESTA VASCULAR CARE
Practice address
310 N Wilmot Rd Ste 204-205
Tucson, AZ 85711-2618
Phone
(520) 618-5369
Fax
(520) 918-3031
NPI assigned
Jun 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Federico Javier YanquezNPI 1215376660
Title
President
Phone
(734) 659-6268

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

310 N Wilmot Rd Ste 204-205
Tucson, AZ 85711-2618

Mailing address

333 N Wilmot Rd Ste 340
Tucson, AZ 85711-2607

Other practice location 1

333 N Wilmot Rd Ste 340
Tucson, AZ 85711-2607
Phone (520) 777-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129004410 AZ Part B Supplier - Clinic/Group Practice 6103279872 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

310 N Wilmot Rd
Ste 205
Tucson, AZ 85711
Phone (520) 722-1655

310 N Wilmot Rd
Ste 204205
Tucson, AZ 85711
Phone (520) 618-5369

310 N Wilmot Rd
Ste 204
Tucson, AZ 85711
Phone (520) 618-5369

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1205512480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N WILMOT RD STE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WILMOT RD STE 204-205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112618",
            "telephone_number": "520-618-5369",
            "fax_number": "520-918-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Wilmot Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112607",
            "country_code": "US",
            "telephone_number": "520-777-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNVESTA VASCULAR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "YANQUEZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-659-6268"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.