Active NPI
Khateeb Vein Center
- Surgery Physician
- Temecula, CA
National Provider Identifier
1295193357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C56111
- Legal business name
- KHATEEB VEIN CENTER
- Practice address
- 44054 Margarita Rd
Suite 2
Temecula, CA 92592-2737 - Phone
- (951) 383-3886
- NPI assigned
- Feb 4, 2016
- 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
- Mazin Khateeb
- Title
- Owner
- Phone
- (951) 383-3886
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | |||
| Surgery Physician | 208600000X | C56111 | CA | Primary |
Addresses
Primary practice location
44054 Margarita Rd
Suite 2
Temecula, CA 92592-2737
Mailing address
44054 Margarita Rd
Suite 2
Temecula, CA 92592-2737
National Provider Directory
National Provider DirectoryLocations
44054 Margarita Rd
Ste 2
Temecula, CA 92592
Phone (915) 204-0299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454544000000",
"number": "1295193357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44054 MARGARITA RD",
"address_2": "SUITE 2",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44054 MARGARITA RD",
"address_2": "SUITE 2",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922737",
"telephone_number": "951-383-3886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHATEEB VEIN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A",
"authorized_official_last_name": "KHATEEB",
"authorized_official_first_name": "MAZIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-383-3886"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "C56111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.