George Pisimisis, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

C175395 Issued in CA

Practice address

2720 N Harbor Blvd Ste 140
Fullerton, CA 92835-2625

Phone

(657) 566-8800

Fax

(657) 566-8810

NPI assigned

Mar 29, 2007

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Vascular Surgery

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange County Vascular and Endovascular Surgery Center IncGroup PAC ID 5698834281, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: gpisimisis916840@direct.memorialcare.org

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

• Orange County Vascular & Endovascular Surgery Center, Inc.

  • Vascular Surgery Physician
  • Fountain Valley, CA
  • NPI 1285893107
  Medicare reassignment Care Compare group NPD (past)
• Coastal Heart, Inc

  dba Coastal Heart Medical Group

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1881612828
  Medicare reassignment NPD
• Empire Vein & Vascular Specialists

  dba Empire Vein Specialists

  • Vascular Surgery Physician
  • Rancho Mirage, CA
  • NPI 1821415142
  Medicare reassignment NPD

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

• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1538288311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR BLDG I",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705516",
            "telephone_number": "760-568-3461",
            "fax_number": "760-423-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 140",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352625",
            "telephone_number": "657-566-8800",
            "fax_number": "657-566-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISIMISIS",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C175395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352728501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey C Pink, LMFT
• Amy Irene Pinto
• Gary M. Piroutek, D.D.S.
• Laura Ann Piroutek, D.M.D.
• Ash Pirouz, MD
• Blanca Pita Jaimes
• Natalie Pitones
• Nicholas Anthony Pizzo
• PJW Speech and Language Therapy Inc.
• Placentia Yorba Linda Unified School District (Child Health Clinic)

• Vascular Surgery Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.