Advanced Vein Therapeutics

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED VEIN THERAPEUTICS

Practice address

39000 Bob Hope Dr
K108
Rancho Mirage, CA 92270

Phone

(760) 568-3461

Fax

(760) 568-6470

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Surindra N Mitruka, MDNPI 1861590382

Title

Physician Partner

Phone

(760) 568-4361

Specialties & licenses 1

Addresses

Practitioners 2

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

• Surindra N Mitruka, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Santa Cruz, CA
  • NPI 1861590382
  NPD (past) Authorized official
• Joseph W Wilson Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rancho Mirage, CA
  • NPI 1851499370
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508964024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K108",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-568-3461",
            "fax_number": "760-568-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K108",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-568-3461",
            "fax_number": "760-568-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITRUKA",
        "authorized_official_first_name": "SURINDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "760-568-4361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldad Adler, M.D
• Advance Desert Sleep Center
• Advanced Acupuncture & Wellness Center
• Advanced Acupuncture and Healing, Inc.
• Advanced Pain Management
• Mira Afiouni, MD
• Ag Rancho Mirage, LLC
• Maryan Agamy
• Shahram Aghaei, MD
• Maria Caroline Aguilar, DDS

• All providers in Rancho Mirage, CA
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.