Endovascular Associates Medical Group, Inc

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

FNP545028 Issued in CA

Legal business name

ENDOVASCULAR ASSOCIATES MEDICAL GROUP, INC

Practice address

10866 Wilshire Blvd
Suite 400-278
Los Angeles, CA 90024-4300

Phone

(310) 000-0000

NPI assigned

Mar 12, 2015

Organization subpart

No

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

Authorized official

Name

Jilbert Eradat, M.D.

Title

Treasurer

Phone

(310) 000-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1659764744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10866 WILSHIRE BLVD",
            "address_2": "SUITE 400-278",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10866 WILSHIRE BLVD",
            "address_2": "SUITE 400-278",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244300",
            "telephone_number": "310-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOVASCULAR ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "ERADAT",
        "authorized_official_first_name": "JILBERT",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "310-000-0000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "FNP545028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Endes
• Brandon Endo
• Lisa Endo
• Norman M Endo, DPM
• Endoscopy Center of Santa Monica LLC
• Lillian Tami Endow, OTD, OTR/L
• Leanna Angelene Buenafe Endozo, BA
• Endulgement Home Health Care Inc.
• Endurable Home Health Care Inc.
• Michael John Enenbach, MD

• Vascular & Interventional Radiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.