Organization Active NPI

Vascular and Endovascular Institute of Orange County, a Medical Corpor

  • Vascular Surgery Physician
  • Irvine, CA
National Provider Identifier
1407036288
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A52537 Issued in CA
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

Updated by the provider on Oct 2, 2015

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A525370MedicaidCA

Other names 1

  • Garabed Parunag 'Gary' Nishanian MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000597 CA Part B Supplier - Clinic/Group Practice 7214014919 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.