Vascular & Thoracic Associates of Los Angeles

Primary specialty

SpecialistTaxonomy code 174400000X

License

A32316 Issued in CA

Legal business name

VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES

Practice address

3680 E Imperial Hwy
Suite 502
Lynwood, CA 90262-2659

Phone

(562) 698-0271

Fax

(562) 698-7467

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Spiwak, M.D.

Title

President

Phone

(562) 698-0271

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEHFCA

Practitioners 2

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

• Christopher Julian Marrocco, MD

  • Vascular Surgery Physician
  • Lynwood, CA
  • NPI 1124208459
  Medicare reassignment Care Compare group NPD
• Shahin Pourrabbani, M.D.

  • Surgery Physician
  • Lynwood, CA
  • NPI 1013226877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1295706901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "562-698-0271",
            "fax_number": "562-698-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "SUITE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622659",
            "telephone_number": "562-698-0271",
            "fax_number": "562-698-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR & THORACIC ASSOCIATES OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "SPIWAK",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-698-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "ZZZ80580Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB224234",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Marguerite Valdivia
• Raul J Vallejo, DDS
• Marlene Vance Jaffe, MSW,LCSW
• Sai Prashanthi Varakala
• Veronica Vargas, STUDENT
• Claire Anne Vasquez
• Isaiah Darian Vasquez, RDA
• Lesly Yossabeth Vasquez, M.A AMFT# 139742
• Alexis Dionicio Vazquez Parra
• Vanessa Vega

• Specialist in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.