East Bay Vascular Medical Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

EAST BAY VASCULAR MEDICAL GROUP

Practice address

130 La Casa Via
Ste 201 BLDG 1
Walnut Creek, CA 94598

Phone

(925) 932-5313

NPI assigned

Sep 13, 2006

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nanci Carter Webb

Title

Practice Manager

Phone

(510) 832-6131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1619072923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "STE 201 BLDG 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-932-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "STE 201 BLDG 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-932-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY VASCULAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "NANCI",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "510-832-6131"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eanashmd Inc (Eric A Nash, MD)
• Jason Earley
• East Bay Family Therapy
• East Bay Hospitalists, a Medical Corporation
• East Bay Neurology, Inc.
• Sandra Carol Easterling, LMFT
• Easterseals Northern California
• Ashlee Hicks Eastman, PT
• Natalie Eaton, HIGH SCHOOL DIPLOMA
• Nie Coleen Sayon Ebajay, FNP-C

• Vascular Surgery Physician in Walnut Creek, CA
• Providers in Walnut Creek, 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 Jan 30, 2008; 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.