NPIMap

Organization Active NPI

Beach Cities Vein Center, Inc.

  • Vascular & Interventional Radiology Physician
  • El Segundo, CA
National Provider Identifier
1538505938
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G64513 Issued in CA
Legal business name
BEACH CITIES VEIN CENTER, INC.
Practice address
390 N Sepulveda Blvd
Suite 1030
El Segundo, CA 90245-4475
Phone
(323) 394-2938
Fax
(866) 335-0887
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Dr. Mark D Rayman, M.D.
Title
President
Phone
(310) 986-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X G64513 CA Primary

Addresses

Primary practice location

390 N Sepulveda Blvd
Suite 1030
El Segundo, CA 90245-4475

Mailing address

390 N Sepulveda Blvd
Suite 1030
El Segundo, CA 90245-4475
Phone (310) 986-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1538505938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N SEPULVEDA BLVD",
            "address_2": "SUITE 1030",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454475",
            "telephone_number": "310-986-6500",
            "fax_number": "310-986-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N SEPULVEDA BLVD",
            "address_2": "SUITE 1030",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454475",
            "telephone_number": "323-394-2938",
            "fax_number": "866-335-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES VEIN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "RAYMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-986-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G64513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.