Peripheral Vascular Associates, Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A105121 Issued in CA

Legal business name

PERIPHERAL VASCULAR ASSOCIATES, INC.

Practice address

4501 Birch St
Newport Beach, CA 92660-1990

Phone

(949) 922-2352

Fax

(949) 223-4702

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Todd S Harris, M.D.

Title

President

Phone

(949) 221-0136

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1609133511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12139",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585053",
            "telephone_number": "949-922-2352",
            "fax_number": "949-223-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601990",
            "telephone_number": "949-922-2352",
            "fax_number": "949-223-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIPHERAL VASCULAR ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-221-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A105121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlen Perez, ASW
• Michael Perezpolanco
• Performance Boost Center, LLC
• Kellyn Rose Perham, PA-C
• Stacy Perich, LCSW
• Randall A Perkins, DDS
• Jerrick Permejo
• Carolyn Marie Perry, PA-C
• Christopher Marsh Perry, MD
• James Clifford Perry II

• Vascular Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, 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 Apr 16, 2012; 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.