Active NPI
Vascular Access Center of South Los Angeles LLC
- Vascular & Interventional Radiology Physician
- Downey, CA
National Provider Identifier
1346646619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary | ||
| Vascular Surgery Physician | 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 DirectoryLocations
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.