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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20A9229
- 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, 2010
- Organization subpart
- Yes
- Parent organization
- SHEIKH A LATIF DO A PROFESSIONAL CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX92291 | Medicaid | CA |
Other names 1
- DBA Valley Endovascular Institute of Surgery DBA Calstatesurgeons, P.C
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.
-
- Pediatric Physical Therapist
- Hanford, CA
- NPI 1164578217
-
- Internal Medicine Physician
- Atwater, CA
- NPI 1679598536
-
- Internal Medicine Physician
- Merced, CA
- NPI 1639103898
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.