Palm Vein Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PALM VEIN CENTER LLC

Practice address

16944 W Bell Rd
#603
Surprise, AZ 85374-8950

Phone

(623) 201-4777

Fax

(623) 201-4770

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy H Dragon, RVT

Title

Ceo

Phone

(623) 201-4777

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellaina Johnson-Antes, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1851780001
  NPD
• Daniel J. Para, MD

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1205830684
  NPD
• Robert Azizi, MD

  • Vascular & Interventional Radiology Physician
  • Bell Gardens, CA
  • NPI 1316101298
  NPD

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1437401106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16944 W BELL RD",
            "address_2": "SUITE 603",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748950",
            "telephone_number": "623-201-4777",
            "fax_number": "623-201-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16944 W BELL RD",
            "address_2": "#603",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748950",
            "telephone_number": "623-201-4777",
            "fax_number": "623-201-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VEIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "DRAGON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-201-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triveni Vilas Padale, DMD
• Destiny Padilla
• Ashley Paez
• Sarah Jane Paikowsky, OD
• Danielle Palacios
• Richard Michael Palmer, M.D., CEDIR
• Sainamitha Reddy Palnati, DO
• Kendra Palumbo
• Jordan David Panchu
• Sushil Raj Pandey, MD

• Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.