Active NPI
Vip Vein Center
- Vascular & Interventional Radiology Physician
- San Jose, CA
National Provider Identifier
1336441310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A78415
- Legal business name
- VIP VEIN CENTER
- Practice address
- 2410 Samaritan Dr
Suite 102
San Jose, CA 95124-3909 - Phone
- (408) 371-8346
- Fax
- (408) 796-7787
- NPI assigned
- Nov 24, 2010
- Organization subpart
- Yes
- Parent organization
- OMNIRAD MEDICAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan M. Allardyce
- Title
- Cfo
- Phone
- (408) 371-0390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | A78415 | CA | Primary |
Addresses
Primary practice location
2410 Samaritan Dr
Suite 102
San Jose, CA 95124-3909
Mailing address
2410 Samaritan Dr
Suite 102
San Jose, CA 95124-3909
Phone (408) 371-8346
National Provider Directory
National Provider Directory- Tax ID family
- Omnirad Medical Group Inc
- Part of
- Omnirad Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Los Gatos, CA
- NPI 1649596792
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Diagnostic Radiology Physician
- Los Gatos, CA
- NPI 1649596792
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- San Jose, CA
- NPI 1558370072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290556800000",
"number": "1336441310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SAMARITAN DR",
"address_2": "SUITE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243909",
"telephone_number": "408-371-8346",
"fax_number": "408-796-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 SAMARITAN DR",
"address_2": "SUITE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243909",
"telephone_number": "408-371-8346",
"fax_number": "408-796-7787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP VEIN CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OMNIRAD MEDICAL GROUP, INC.",
"enumeration_date": "2010-11-24",
"last_updated": "2010-11-24",
"status": "A",
"authorized_official_last_name": "ALLARDYCE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "408-371-0390",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A78415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.