Active NPI
Leg and Vein Institute, Inc
- Vascular & Interventional Radiology Physician
- Newport Beach, CA
National Provider Identifier
1659767341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A78843
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 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 DirectoryLocations
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.