Organization Active NPI

Monterey Bay Vascular, Inc.

  • Vascular Surgery Physician
  • Aptos, CA
National Provider Identifier
1689326225
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MONTEREY BAY VASCULAR, INC.
Practice address
3275 Aptos Rancho Rd Ste 1a
Aptos, CA 95003-3971
Phone
(631) 662-2130
NPI assigned
Jan 25, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Lawrence Pacheco, MBA
Title
Director
Phone
(831) 318-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

3275 Aptos Rancho Rd Ste 1a
Aptos, CA 95003-3971

Mailing address

3275 Aptos Rancho Rd Ste 1a
Aptos, CA 95003-3971
Phone (831) 318-0010

Other practice location 1

242 E Romie Ln
Salinas, CA 93901-3128
Phone (831) 318-0010

Other practice location 2

221 E Romie Ln
Salinas, CA 93901-3127
Phone (831) 318-0010

Other practice location 3

798 Cass St Ste 201
Monterey, CA 93940-2918
Phone (831) 318-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220502001526 CA Part B Supplier - Clinic/Group Practice 3779970249 Receives reassigned benefits from 4 practitioners
Practice locations: Salinas, CA; Monterey, CA; Aptos, CA

National Provider Directory

National Provider Directory

Locations

3275 Aptos Rancho Rd
Ste Ae
Aptos, CA 95003

798 Cass St
Ste 201
Monterey, CA 93940
Phone (831) 372-1500

242 E Romie Ln
Salinas, CA 93901
Phone (602) 266-9066

945 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 318-0010

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1689326225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 APTOS RANCHO RD STE 1A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033971",
            "telephone_number": "831-318-0010",
            "fax_number": "831-318-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 APTOS RANCHO RD STE 1A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033971",
            "telephone_number": "631-662-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 E Romie Ln",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013128",
            "country_code": "US",
            "telephone_number": "831-318-0010",
            "fax_number": "831-318-0407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 E Romie Ln",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013127",
            "country_code": "US",
            "telephone_number": "831-318-0010",
            "fax_number": "831-318-0407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "798 Cass St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939402918",
            "country_code": "US",
            "telephone_number": "831-318-0010",
            "fax_number": "831-318-0407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTEREY BAY VASCULAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "831-318-1246",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.