Orange County Vascular & Endovascular Surgery Center, Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A73996 Issued in CA

Legal business name

ORANGE COUNTY VASCULAR & ENDOVASCULAR SURGERY CENTER, INC.

Practice address

11190 Warner Ave Ste 408
Fountain Valley, CA 92708-4047

Phone

(714) 430-1414

Fax

(714) 430-1486

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Son Thanh Duong, M.D.NPI 1982880928

Title

President

Phone

(714) 430-1414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Orange County Vascular and Endovascular Surgery Center Inc

  • Medical Specialty Clinic/Center
  • Huntington Beach, CA
  • NPI 1164830998

  O20090707000375

  Same enrollment

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

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 9

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

• Son Duong, M.D.

  • Vascular Surgery Physician
  • Fountain Valley, CA
  • NPI 1982880928
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Duy Nguyen

  • Physician Assistant
  • Fountain Valley, CA
  • NPI 1982410684
  Medicare reassignment Care Compare group NPD
• Tuong C Nguyen, M.D.

  • Surgery Physician
  • Riverside, CA
  • NPI 1831531565
  Medicare reassignment Care Compare group NPD
• George Pisimisis, MD

  • Vascular Surgery Physician
  • Fullerton, CA
  • NPI 1538288311
  Medicare reassignment Care Compare group NPD (past)
• Isaac Gutierrez

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1215745419
  Medicare reassignment Care Compare group
• Vince Vu Le

  • Physician Assistant
  • Fullerton, CA
  • NPI 1619571742
  Medicare reassignment Care Compare group
• Pauline Imelda Salguero

  • Physician Assistant
  • Lakewood, CA
  • NPI 1598392466
  Medicare reassignment Care Compare group
• Danh Thanh Vu, PA

  • Physician Assistant
  • Garden Grove, CA
  • NPI 1558958710
  Medicare reassignment Care Compare group
• Loriel Handlen, PA-C

  • Physician Assistant
  • Goodyear, AZ
  • NPI 1295458149

  CA

  Medicare reassignment

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1285893107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 408",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084047",
            "telephone_number": "714-430-1414",
            "fax_number": "714-430-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 408",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084047",
            "telephone_number": "714-430-1414",
            "fax_number": "714-430-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY VASCULAR & ENDOVASCULAR SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-430-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A73996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Caregivers, Inc.
• Orange County Diagnostic Radiology, Inc.
• Orange County Digestive Care Inc
• Orange County Physical Medicine Group, a Professional Corp.
• Orange County Respiratory Physicians Corp
• Kimberly Ann Orin, MOT, OTR/L
• Jacqueline Ormerod, BA, BA HONORS
• Mayra Orozco
• Taylor Ortega
• Ortho Alliance Inc.

• Vascular Surgery Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.