Organization Active NPI

Sheikh a. Latif DO a Professional Corporation

Doing business as DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C

  • Surgery Physician
  • Hanford, CA
National Provider Identifier
1437374188
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A9229 Issued in CA
Legal business name
SHEIKH A. LATIF DO A PROFESSIONAL CORPORATION
Doing business as
DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C
Practice address
1524 W. Lacey Blvd.
Suite 201
Hanford, CA 93230
Phone
(877) 360-8346
Fax
(877) 360-8346
NPI assigned
Apr 16, 2007
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SHEIKH A LATIF DO A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mrs. Liezl 'Liz' Bardilas-Latif, P.T.
Title
Chief Financial Officer
Phone
(559) 239-5449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A9229 CA Primary
Vascular Surgery Physician 2086S0129X 20A9229 CA

Addresses

Primary practice location

1524 W. Lacey Blvd.
Suite 201
Hanford, CA 93230

Mailing address

1524 W. Lacey Blvd.
Suite 201
Hanford, CA 93230
Phone (877) 360-8346

Other identifiers 1

IdentifierTypeStateIssuer
00AX92291MedicaidCA

Other names 1

  • DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C Doing business as

National Provider Directory

National Provider Directory
Part of
Sheikh a Latif DO a Pro

Locations

3605 Hospital Rd
Ste F
Atwater, CA 95301
Phone (209) 381-0184

125 Mall Dr
Ste 315
Hanford, CA 93230
Phone (559) 537-0395

450 E Yosemite Ave
Merced, CA 95340
Phone (209) 384-9108

Practitioners & affiliated clinicians

Practitioners 3

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1437374188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W. LACEY BLVD.",
            "address_2": "SUITE 201",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "877-360-8346",
            "fax_number": "877-360-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W. LACEY BLVD.",
            "address_2": "SUITE 201",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "877-360-8346",
            "fax_number": "877-360-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEIKH A. LATIF DO A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEIKH A LATIF DO A PROFESSIONAL CORPORATION",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "BARDILAS-LATIF",
        "authorized_official_first_name": "LIEZL 'LIZ'",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-239-5449",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A9229",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "20A9229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX92291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.