Organization Active NPI

Leg and Vein Institute, Inc

  • Vascular & Interventional Radiology Physician
  • Newport Beach, CA
National Provider Identifier
1659767341
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A78843 Issued in CA
Legal business name
LEG AND VEIN INSTITUTE, INC
Practice address
1601 Dove St
Suite 210
Newport Beach, CA 92660-2433
Phone
(949) 679-5347
Fax
(866) 335-0887
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Saif Siddiqi, M.D.
Title
Medical Director
Phone
(949) 679-5347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X A78843 CA Primary

Addresses

Primary practice location

1601 Dove St
Suite 210
Newport Beach, CA 92660-2433

Mailing address

1601 Dove St
Suite 210
Newport Beach, CA 92660-2433
Phone (949) 679-5347

National Provider Directory

National Provider Directory

Locations

1601 Dove St
Ste 210
Newport Beach, CA 92660
Phone (949) 660-0700

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1659767341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-679-5347",
            "fax_number": "866-335-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602433",
            "telephone_number": "949-679-5347",
            "fax_number": "866-335-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEG AND VEIN INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "SAIF",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-679-5347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A78843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.