Active NPI
Chad Vanhill, CCP
- Perfusionist
- Burlingame, CA
National Provider Identifier
1730847005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 089077
- Practice address
- 1501 Trousdale Dr
Burlingame, CA 94010-4506 - Phone
- (650) 799-8991
- NPI assigned
- Dec 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 089077 | Primary |
Addresses
Primary practice location
1501 Trousdale Dr
Burlingame, CA 94010-4506
Mailing address
2079 E Woodstone Dr
Hayden, ID 83835-8625
Phone (208) 651-6995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1730847005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 E WOODSTONE DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358625",
"telephone_number": "208-651-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 TROUSDALE DR",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104506",
"telephone_number": "650-799-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHILL",
"first_name": "CHAD",
"credential": "CCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": null,
"license": "089077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.