Active NPI
Premier Vascular and Vein Surgery Center
- Ambulatory Surgical Clinic/Center
- Turlock, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PREMIER VASCULAR AND VEIN SURGERY CENTER
- Practice address
- 1512 Colorado Ave
Turlock, CA 95380-2711 - Phone
- (209) 668-8030
- NPI assigned
- Sep 23, 2024
- 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
- Reza Nazari, MD
- Title
- Owner
- Phone
- (209) 226-1770
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1512 Colorado Ave
Turlock, CA 95380-2711
Mailing address
1512 Colorado Ave
Turlock, CA 95380-2711
Phone (209) 226-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Ambulatory surgical center certification: CCN 55C0001217
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Premier Vascular and Vein Surgery Center
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Dec 5, 2025
- Last certification
- Nov 17, 2025
- Facility address
- 1512 Colorado Ave.
Turlock, CA 95380
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2319377 | Premier Vascular and Vein Surgery | Certificate of waiver | Feb 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1512 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Turlock, CA
- NPI 1215195557
-
- Cardiovascular Disease Physician
- Turlock, CA
- NPI 1265656417
-
- Cardiovascular Disease Physician
- Turlock, CA
- NPI 1710183165
-
- Cardiovascular Disease Physician
- Turlock, CA
- NPI 1700032216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1275350167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 COLORADO AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953802711",
"telephone_number": "209-226-1770",
"fax_number": "209-226-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 COLORADO AVE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953802711",
"telephone_number": "209-668-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER VASCULAR AND VEIN SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "NAZARI",
"authorized_official_first_name": "REZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-226-1770",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
- Prashant S Parmar D.D.S Inc (Accurate Family Dental, Dental Practice of Prashant S Parmar D.D.S INC)
- Alisha Nicole Pratt, D.O.
- Guillermina Preciado Meza, DDS
- Leslie Preciado Reynoso
- Katie Preciado
- Premium Urgent Care, Inc. (Premium Urgent Care)
- Prestige Care Center
- Leigh Anne Price, BCBA
- Primary Critical Care Limited Partnership
- Dan Wayne Prine, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.