Vascular Access Expert

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

659713RN/BSN Issued in CA

Legal business name

VASCULAR ACCESS EXPERT

Practice address

515 Cabrillo Park Dr
Suite 120
Santa Ana, CA 92701-5016

Phone

(714) 558-8038

Fax

(714) 558-6033

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Lani Dela Noche, REGISTERED NURSE

Title

Owner/Ceo

Phone

(714) 558-8038

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Mark S Wagner, MD

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1700821709
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1447637715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CABRILLO PARK DR",
            "address_2": "SUITE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015016",
            "telephone_number": "714-558-8038",
            "fax_number": "714-558-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CABRILLO PARK DR",
            "address_2": "SUITE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015016",
            "telephone_number": "714-558-8038",
            "fax_number": "714-558-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS EXPERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "DELA NOCHE",
        "authorized_official_first_name": "LANI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "714-558-8038",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "CA",
            "license": "659713RN/BSN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "16455",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "659713RN/BSN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Joselyn Vargas, BEHAVIORAL THERAPIST
• Jose Vargas
• Rosalia Vargas Sr.
• Steven Vargas
• Carrie Varkatzas
• Vascular Institute of Southern California Inc, a Podiatry Corporation
• Veronica S Vasquez Cardenas, BEHAVIOR TECHNICIAN
• Cyntia L Vasquez-Nandino
• Ashley V Vasquez
• Hector Vasquez

• Corporate Health Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Corporate Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.