Organization Active NPI

Ahi Vein and Vascular Specialists Inc a Professional Medical Corporati

Doing business as Oceana Vein Specialists

  • Radiology Clinic/Center
  • Oceanside, CA
National Provider Identifier
1629512595
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
C3894822 Issued in CA
Legal business name
AHI VEIN AND VASCULAR SPECIALISTS INC A PROFESSIONAL MEDICAL CORPORATI
Doing business as
Oceana Vein Specialists
Practice address
2125 South El Camino Real
Suite 210
Oceanside, CA 92054
Phone
(773) 307-5315
NPI assigned
Dec 13, 2016
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Adam Isadore, M.D.NPI 1578797734
Title
President
Phone
(773) 307-5315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X C3894822 CA Primary

Addresses

Primary practice location

2125 South El Camino Real
Suite 210
Oceanside, CA 92054

Mailing address

6247 La Jolla Blvd
La Jolla, CA 92037

Other names 1

  • Oceana Vein Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126001514 CA Part B Supplier - Clinic/Group Practice 8426330465 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1629512595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 LA JOLLA BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 SOUTH EL CAMINO REAL",
            "address_2": "SUITE 210",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "773-307-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHI VEIN AND VASCULAR SPECIALISTS INC A PROFESSIONAL MEDICAL CORPORATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "ISADORE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-307-5315",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "C3894822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceana Vein Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.