Vaidheesh Varagantiwar

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

7410 Delaware LN Sea Mar Vancouver Medical Clinic,
Vancouver, WA 98664

Phone

(360) 653-1742

NPI assigned

Jan 6, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1265399984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 STATE AVE SEA MAR MARYSVILLE MEDICAL CLINIC,",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98270",
            "telephone_number": "360-653-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 DELAWARE LN SEA MAR VANCOUVER MEDICAL CLINIC,",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-653-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARAGANTIWAR",
        "first_name": "VAIDHEESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Vantilburg, MD
• Levi John Vantol, PT, DPT
• Donnette K Vantries
• Stephanie Paris Vanvolkinburg
• Patricia Sue Vanwagner
• Douglas Varenas
• Nycole Vargas
• Erin Varner, RDH
• Lisa Vasanth, MD
• Adina G Vasile

• Student in an Organized Health Care Education/Training Program in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.