Organization Active NPI

Vatche Cabayan Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Richmond, CA
National Provider Identifier
1295135804
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G54444 Issued in CA
Legal business name
VATCHE CABAYAN MEDICAL CORPORATION
Practice address
2970 Hilltop Mall Rd Ste 200
Richmond, CA 94806-1949
Phone
(510) 724-4586
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Vatche Cabayan, M.D.
Title
President
Phone
(510) 724-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G54444 CA Primary

Addresses

Primary practice location

2970 Hilltop Mall Rd Ste 200
Richmond, CA 94806-1949

Mailing address

1599 Tara Hills Dr
Pinole, CA 94564-2519
Phone (510) 724-4586

Other names 1

  • Pinole Valley Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vatche Cabayan Medical5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1295135804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 TARA HILLS DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642519",
            "telephone_number": "510-724-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD STE 200",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061949",
            "telephone_number": "510-724-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VATCHE CABAYAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CABAYAN",
        "authorized_official_first_name": "VATCHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-724-4586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G54444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinole Valley Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.