Organization Active NPI

Art Vascular & Interventional Associates Inc

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
National Provider Identifier
1407353675
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ART VASCULAR & INTERVENTIONAL ASSOCIATES INC
Practice address
1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4125
Phone
(626) 657-8002
Fax
(323) 433-9177
NPI assigned
Apr 12, 2018
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Dr. Salar HakhamNPI 1386960854
Title
Owner
Phone
(310) 242-0919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4125

Mailing address

324 S Beverly Dr Ste 345
Beverly Hills, CA 90212-4801
Phone (914) 979-6158

Other practice location 1

3633 Camino Del Rio S Ste 300
San Diego, CA 92108-4014
Phone (626) 657-8002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711002270 CA Part B Supplier - Clinic/Group Practice 0446506158 Receives reassigned benefits from 3 practitioners
Practice locations: Chino, CA; Montebello, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

12134 Victory Blvd
Unit E
North Hollywood, CA 91606

1044 S Fair Oaks Ave
Pasadena, CA 91105
Phone (424) 259-3132

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1407353675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S BEVERLY DR STE 345",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124801",
            "telephone_number": "914-979-6158",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD STE 106",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404125",
            "telephone_number": "626-657-8002",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3633 Camino Del Rio S Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084014",
            "country_code": "US",
            "telephone_number": "626-657-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ART VASCULAR & INTERVENTIONAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "HAKHAM",
        "authorized_official_first_name": "SALAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-242-0919",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.