Organization Active NPI

Varicose Vein Surgeons,Inc

  • Specialist
  • Glendale, CA
National Provider Identifier
1386673192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A38263 Issued in CA
Legal business name
VARICOSE VEIN SURGEONS,INC
Practice address
1510 S Central Ave Ste 200
Glendale, CA 91204-2588
Phone
(818) 500-9934
Fax
(818) 500-9935
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dario Perez, M.D.
Title
Owner
Phone
(818) 500-9934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A38263 CA Primary

Addresses

Primary practice location

1510 S Central Ave Ste 200
Glendale, CA 91204-2588

Mailing address

1510 S Central Ave Ste 200
Glendale, CA 91204-2588
Phone (818) 500-9934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386673192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042588",
            "telephone_number": "818-500-9934",
            "fax_number": "818-500-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042588",
            "telephone_number": "818-500-9934",
            "fax_number": "818-500-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE VEIN SURGEONS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-500-9934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A38263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.