Mara Vascular Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARA VASCULAR SURGERY CENTER INC.

Practice address

1101 Bayside Dr Ste 100
Corona del Mar, CA 92625-1754

Phone

(747) 777-3188

Fax

(747) 777-4110

NPI assigned

Oct 24, 2025

Organization subpart

No

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

Authorized official

Name

Ramsess Khosravi, LLB, RVTNPI 1912695842

Title

Owner

Phone

(323) 770-9607

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ramsess Khosravi, RVT

  • Vascular Sonography Radiologic Technologist
  • West Hills, CA
  • NPI 1912695842
  NPD Authorized official

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1720956501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 VALLEY CIRCLE BLVD",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BAYSIDE DR STE 100",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251754",
            "telephone_number": "747-777-3188",
            "fax_number": "747-777-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA VASCULAR SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "KHOSRAVI",
        "authorized_official_first_name": "RAMSESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-770-9607",
        "authorized_official_credential": "LLB, RVT"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline L Miller MD a Medical Corporation
• Melissa Magdangal, OTR/L
• Angie Elizabeth Maldonado
• Barbara L Mallonee, D.D.S.
• Pamela Mangus, PHARM D.
• Kelly McCann, M.A., MFT
• Meaecare Inc.
• Michael B Hurwitz MD Inc (Newport Vein Care)
• Michael W. Niccole, MD, Inc.
• Miramar Health Inc

• Ambulatory Surgical Clinic/Center in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.