Individual provider Active NPI

Varinder Singh Phangureh, M.D.

  • Vascular Surgery Physician
  • San Leandro, CA
National Provider Identifier
1487972592
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A134831 Issued in CA
Practice address
13851 E 14TH St Ste 202
San Leandro, CA 94578-2627
Phone
(510) 347-4700
Fax
(510) 347-4712
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A134831 CA Primary

Addresses

Primary practice location

13851 E 14TH St Ste 202
San Leandro, CA 94578-2627

Mailing address

13851 E 14TH St Ste 202
San Leandro, CA 94578-2627
Phone (510) 347-4700

Other practice location 1

100 Park Pl Ste 150
San Ramon, CA 94583-4460
Phone (510) 347-4700

Other practice location 2

27200 Calaroga Ave # 101
Hayward, CA 94545-4339
Phone (510) 347-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601002771 CA Practitioner - Vascular Surgery 8820319932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
General Vascular Surgery Medical Group IncGroup PAC ID 1951390137, 5 clinicians

Practice addresses (Care Compare)

100 Park PL
Suite 150
San Ramon, CA 94583-4460
Phone (925) 275-0551

Hospital & facility affiliations

  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
69.73
Improvement activities
40
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal28
Leg revascularization (restoring blood flow)31
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A134831CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Vascular Surgery Medical Group, Inc. Vascular Surgery CurrentSince Jul 10, 2015 Accepting new patients
California Pacific Medical Group, Inc. PastSince Jul 10, 2015 Accepting new patients

Locations

2070 Clinton Ave
Fl 3
Alameda, CA 94501
Phone (510) 548-6555

2070 Clinton Ave
#3
Alameda, CA 94501
Phone (510) 521-4412

27200 Calaroga Ave
Ste 101103
Hayward, CA 94545

27200 Calaroga Ave
#101
Hayward, CA 94545
Phone (510) 347-4700

13851 E 14th St
Ste 202
San Leandro, CA 94578
Phone (510) 347-4700

13851 E 14th St
#201202
San Leandro, CA 94578
Phone (510) 347-4700

13855 E 14th St
#2
San Leandro, CA 94578
Phone (510) 357-4006

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

100 Park Pl
#150
San Ramon, CA 94583
Phone (925) 275-0551

100 Park Pl
Ste 150
San Ramon, CA 94583
Phone (510) 331-5085

5201 Norris Canyon Rd
Ste 210
San Ramon, CA 94583
Phone (925) 275-0551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: varinder.phangureh.1@1920.direct.athenahealth.com
  • Direct secure messaging: vphangureh14465@alamedahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/1920/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1487972592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782627",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782627",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834460",
            "country_code": "US",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27200 Calaroga Ave # 101",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454339",
            "country_code": "US",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHANGUREH",
        "first_name": "VARINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A134831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.