Active NPI
Vascular Institute of Southern California Inc, a Podiatry Corporation
- Vascular & Interventional Radiology Physician
- Santa Ana, CA
National Provider Identifier
1538872767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- VASCULAR INSTITUTE OF SOUTHERN CALIFORNIA INC, A PODIATRY CORPORATION
- Practice address
- 720 N Tustin Ave Ste 206
Santa Ana, CA 92705-3606 - Phone
- (714) 694-4665
- NPI assigned
- Jan 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladimir Zeetser
- Title
- Authorized Official
- Phone
- (818) 259-1138
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X |
Addresses
Primary practice location
720 N Tustin Ave Ste 206
Santa Ana, CA 92705-3606
Mailing address
18375 Ventura Blvd # 554
Tarzana, CA 91356-4218
Phone (714) 694-4665
National Provider Directory
National Provider DirectoryLocations
35280 Bob Hope Dr
Ste 102
Rancho Mirage, CA 92270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1538872767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18375 VENTURA BLVD # 554",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564218",
"telephone_number": "714-694-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N TUSTIN AVE STE 206",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053606",
"telephone_number": "714-694-4665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR INSTITUTE OF SOUTHERN CALIFORNIA INC, A PODIATRY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-03",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "ZEETSER",
"authorized_official_first_name": "VLADIMIR",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "818-259-1138"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.