Multispecialty & Vascular Partners Inc

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MULTISPECIALTY & VASCULAR PARTNERS INC

Practice address

1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4123

Phone

(626) 616-8863

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Victor Shi, MDNPI 1770857427

Title

Owner

Phone

(626) 616-8863

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Victor Shi, M.D.

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
  • NPI 1770857427

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD Authorized official
• Salar Hakham, D.O.

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
  • NPI 1386960854

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• William A Martinez, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1124161120
  NPD (past)

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1710608492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD STE 106",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD STE 106",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404123",
            "telephone_number": "626-616-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTISPECIALTY & VASCULAR PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-616-8863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1417 W Beverly Blvd Ste 106",
            "city": "Montebello",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906404123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriana Pereda Morga, NP
• Mathieu Joseph Agbayani Moulic
• Moussavian DDS Inc (Sunshine Kids Dental)
• MTB Adult Day Care, Inc. (Montebello Adult Day Health Care Center)
• Mtblo Medical Group Inc
• Jose Daniel Murga, LMFT 116241
• Maribel Murillo
• Katherine Margaret Murkijanian
• Melinda Marie Nabor, L.C.S.W.
• Ismael B Nacino, M.D.

• Vascular & Interventional Radiology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.