Active NPI
Vascular and Endovascular Institute of Orange County, a Medical Corpor
- Vascular Surgery Physician
- Irvine, CA
National Provider Identifier
1407036288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A52537
- Legal business name
- VASCULAR AND ENDOVASCULAR INSTITUTE OF ORANGE COUNTY, A MEDICAL CORPOR
- Doing business as
- Garabed Parunag 'Gary' Nishanian MD
- Practice address
- 16100 Sand Canyon Ave
Suite 350
Irvine, CA 92618-3716 - Phone
- (949) 429-8840
- NPI assigned
- Nov 8, 2007
- 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
- Gary Nishanian, M.D.
- Title
- President
- Phone
- (949) 429-8840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A52537 | CA | Primary |
Addresses
Primary practice location
16100 Sand Canyon Ave
Suite 350
Irvine, CA 92618-3716
Mailing address
16100 Sand Canyon Ave
Suite 350
Irvine, CA 92618-3716
Phone (949) 429-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A525370 | Medicaid | CA |
Other names 1
- Garabed Parunag 'Gary' Nishanian MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16100 Sand Canyon Ave
Ste 350
Irvine, CA 92618
Phone (949) 429-8840
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Irvine, CA
- NPI 1336297290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443744000000",
"number": "1407036288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 SAND CANYON AVE",
"address_2": "SUITE 350",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183716",
"telephone_number": "949-429-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SAND CANYON AVE",
"address_2": "SUITE 350",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183716",
"telephone_number": "949-429-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR AND ENDOVASCULAR INSTITUTE OF ORANGE COUNTY, A MEDICAL CORPOR",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2015-10-02",
"status": "A",
"authorized_official_last_name": "NISHANIAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-429-8840",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A52537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A525370",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Garabed Parunag 'Gary' Nishanian MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.