NPIMap

Organization Active NPI

USA Vascular Centers of Los Angeles, PC

  • Vascular Surgery Physician
  • Valley Village, CA
National Provider Identifier
1679951362
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VASCULAR CENTERS OF LOS ANGELES, PC
Practice address
12840 Riverside Dr
Suite 300a
Valley Village, CA 91607-3327
Phone
(323) 798-1800
Fax
(224) 246-8042
NPI assigned
May 13, 2015
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Christopher A Morrison
Title
Owner
Phone
(727) 644-3038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

12840 Riverside Dr
Suite 300a
Valley Village, CA 91607-3327

Mailing address

304 Wainwright Dr Ste 130
Northbrook, IL 60062-1919
Phone (847) 257-1244

Other practice location 1

18682 Beach Blvd Ste 155A
Huntington Beach, CA 92648-2048
Phone (847) 593-8460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001000391 CA Part B Supplier - Clinic/Group Practice 0345558128 Receives reassigned benefits from 13 practitioners
Practice locations: Valley Village, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2164186USA Vascular Centers12840 Riverside Dr, Suite 300a, Valley Village, CA 91607Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

18682 Beach Blvd
Ste 155A
Huntington Beach, CA 92648

18682 Beach Blvd
Ste B145
Huntington Beach, CA 92648

12840 Riverside Dr
#300A
Valley Village, CA 91607
Phone (323) 798-1800

12840 Riverside Dr
Ste 300A
Valley Vlg, CA 91607
Phone (323) 798-1800

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1679951362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR STE 130",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621919",
            "telephone_number": "847-257-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "address_2": "SUITE 300A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "323-798-1800",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18682 Beach Blvd Ste 155A",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482048",
            "country_code": "US",
            "telephone_number": "847-593-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA VASCULAR CENTERS OF LOS ANGELES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-644-3038"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.