Organization Active NPI

Vascular Access Center of South Los Angeles LLC

  • Vascular & Interventional Radiology Physician
  • Downey, CA
National Provider Identifier
1346646619
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VASCULAR ACCESS CENTER OF SOUTH LOS ANGELES LLC
Practice address
11411 Brookshire Ave
Suite 301
Downey, CA 90241-5026
Phone
(562) 862-4027
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
James McGuckin
Title
Ceo
Phone
(215) 382-3680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

11411 Brookshire Ave
Suite 301
Downey, CA 90241-5026

Mailing address

2929 Arch Street
Suite 1705
Philadelphia, PA 19104-2866

National Provider Directory

National Provider Directory

Locations

11411 Brookshire Ave
Ste 301
Downey, CA 90241
Phone (562) 548-7530

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1346646619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 ARCH STREET",
            "address_2": "SUITE 1705",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE 301",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415026",
            "telephone_number": "562-862-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS CENTER OF SOUTH LOS ANGELES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "MCGUCKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-382-3680"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.