Organization Active NPI

Khateeb Vein Center

  • Surgery Physician
  • Temecula, CA
National Provider Identifier
1295193357
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C56111 Issued in CA
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

Updated by the provider on Feb 4, 2016

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)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.