Organization Active NPI

Discover Vein and Vascular Center PLLC

  • Vascular Surgery Physician
  • Mesa, AZ
National Provider Identifier
1285499665
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DISCOVER VEIN AND VASCULAR CENTER PLLC
Practice address
135 S Power Rd Ste 101
Mesa, AZ 85206-5245
Phone
(480) 745-8577
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Joseph D VijungcoNPI 1952399180
Title
Member/Owner
Phone
(480) 745-8577

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

135 S Power Rd Ste 101
Mesa, AZ 85206-5245

Mailing address

1900 W Chandler Blvd Ste 15-255
Chandler, AZ 85224-6213

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2293978Discover Vein and Vascular Center PLLC135 S Power Rd Ste 101, Mesa, AZ 85206Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Discover Vein and Vascular Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1285499665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W CHANDLER BLVD STE 15-255",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S POWER RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065245",
            "telephone_number": "480-745-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER VEIN AND VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "VIJUNGCO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "480-745-8577"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.