Vib Physician Assistant Professional Corporation

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

VIB PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION

Practice address

1506 S Delaware St
San Mateo, CA 94402-2150

Phone

(650) 464-3997

NPI assigned

May 11, 2026

Last updated

Aug 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vadim Bederov, PANPI 1659681278

Title

Owner

Phone

(650) 464-3997

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Vadim I Bederov, PA-C

  • Physician Assistant
  • Stanford, CA
  • NPI 1659681278

  Surgical

  NPD Authorized official

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1467380303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S DELAWARE ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022150",
            "telephone_number": "650-464-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S DELAWARE ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022150",
            "telephone_number": "650-464-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIB PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "BEDEROV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-464-3997",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie S. Ventura
• Janay Elizabeth Venturi
• Anna Maria Cavan Verano-Vo
• Sasha Kashani Vernick
• Tony Philip Vertongen, DDS
• Jacob Vides
• Jade Elizabeth Viegas, DC
• Marybeth Viglione, PHD
• Prerna Vinod Vijan
• Vikas Duvvuri MD PHD a Professional Corporation

• Surgical Physician Assistant in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.