Vein Specialty Medical Clinic Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A43193 Issued in CA

Legal business name

VEIN SPECIALTY MEDICAL CLINIC INC

Practice address

2951 Winchester Blvd
Suite 100
Campbell, CA 95008-5319

Phone

(408) 378-3467

Fax

(408) 378-2131

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Khalil Fattahi, M.D.NPI 1144274721

Title

President

Phone

(408) 378-3467

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalil Fattahi, M.D.

  • Specialist
  • Campbell, CA
  • NPI 1144274721
  NPD (past) Authorized official

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1659648301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 WINCHESTER BLVD",
            "address_2": "SUITE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085319",
            "telephone_number": "408-378-3467",
            "fax_number": "408-378-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 WINCHESTER BLVD",
            "address_2": "SUITE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085319",
            "telephone_number": "408-378-3467",
            "fax_number": "408-378-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN SPECIALTY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "FATTAHI",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-378-3467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A43193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Vang
• Heaven Leah Vargas
• William Frederick Vazquez II
• Vcare Inc (ComForcare Senior Services)
• Vcare,Inc (ComForcare Senior Services)
• Veronica Velasco
• Teyolia Malia Velasquez
• Elizabeth Velazquez
• Israel Velazquez, B.A.
• Milton Velez

• Health Service Clinic/Center in Campbell, CA
• Providers in Campbell, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.