Pacific Vascular Institute, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PACIFIC VASCULAR INSTITUTE, LLC

Practice address

99-115 Aiea Heights Dr Ste 276B
Aiea, HI 96701-3924

Phone

(352) 870-7393

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Hardeep ReddickNPI 1790940104

Title

Manager

Phone

(805) 975-7463

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Hardeep S Reddick, PA-C

  • Medical Physician Assistant
  • Stanford, CA
  • NPI 1790940104
  NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1275167348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 276B",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013924",
            "telephone_number": "352-870-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 276B",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013924",
            "telephone_number": "352-870-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "HARDEEP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-975-7463"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Enterprise Group, LLC
• Pacific Pediatric Pulmonology LLC
• Pacific Sleep Tech Inc
• Pacific Training Program
• Pacific Vascular Associates, LLC
• Carmina Corpuz Pacis
• Raili Paddock
• Sisar Medior Paderes, M.D.
• Miguel Antonio Padilla
• Dominic Padre

• Clinic/Center in Aiea, HI
• Providers in Aiea, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.