California Vein Vascular and Diagnostics, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C56176 Issued in CA

Legal business name

CALIFORNIA VEIN VASCULAR AND DIAGNOSTICS, INC.

Practice address

3200 Inland Empire Blvd Ste 275
Ontario, CA 91764-5582

Phone

(626) 623-6040

Fax

(909) 366-5940

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Edwin Nathaniel Kendrick, MDNPI 1265730618

Title

Physician

Phone

(626) 623-6040

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Nathaniel Kendrick III, MD

  • Vascular Surgery Physician
  • Ontario, CA
  • NPI 1265730618
  Medicare reassignment Authorized official
• Sean Thang Nguyen Pham, DO

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1164950523
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1710388103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 INLAND EMPIRE BLVD STE 275",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645582",
            "telephone_number": "626-623-6040",
            "fax_number": "909-366-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 INLAND EMPIRE BLVD STE 275",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645582",
            "telephone_number": "626-623-6040",
            "fax_number": "909-366-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA VEIN VASCULAR AND DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-623-6040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C56176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265730618",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Naomi Call
• Lance Callaghan
• Megan Carroll Callen
• Jasmine Elena Calles
• Mfonobong Calo

• Medical Specialty Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Medical Specialty Clinic/Center in California

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