Active NPI
Experienced Vascular Imaging Corporation
- Vascular Specialist/Technologist Cardiovascular
- Newhall, CA
National Provider Identifier
1730361163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Specialist/Technologist Cardiovascular
- Legal business name
- EXPERIENCED VASCULAR IMAGING CORPORATION
- Practice address
- 23135 Market St
Newhall, CA 91321-3611 - Phone
- (661) 254-6243
- Fax
- (661) 254-8532
- NPI assigned
- Nov 27, 2007
- Last updated
- Feb 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Huerta
- Title
- Chief Financial Officer
- Phone
- (661) 254-6243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | Primary |
Addresses
Primary practice location
23135 Market St
Newhall, CA 91321-3611
Mailing address
23135 Market St
Newhall, CA 91321-3611
Phone (661) 254-6243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080616000138 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3971674136 | Practice locations: Newhall, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Rolling Hills, CA
- NPI 1255415683
-
- Vascular Specialist/Technologist Cardiovascular
- Santa Clarita, CA
- NPI 1437330107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549324800000",
"number": "1730361163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23135 MARKET ST",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913213611",
"telephone_number": "661-254-6243",
"fax_number": "661-254-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23135 MARKET ST",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913213611",
"telephone_number": "661-254-6243",
"fax_number": "661-254-8532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPERIENCED VASCULAR IMAGING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2019-02-05",
"status": "A",
"authorized_official_last_name": "HUERTA",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "661-254-6243"
},
"taxonomies": [
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.