NPIMap

Individual provider Active NPI

Joseph Famil Vardayo, MD FACS

  • Vascular Surgery Physician
  • Long Beach, CA
National Provider Identifier
1740233493
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A43961 Issued in CA
Practice address
701 East 28TH St
Suite 314
Long Beach, CA 90806
Phone
(562) 981-9308
Fax
(562) 981-9318
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A43961 CA
Vascular Surgery Physician 2086S0129X A43961 CA Primary

Addresses

Primary practice location

701 East 28TH St
Suite 314
Long Beach, CA 90806

Mailing address

701 East 28TH St
Suite 314
Long Beach, CA 90806
Phone (562) 981-9308

Other identifiers 1

IdentifierTypeStateIssuer
00A439610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101001187 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7618994237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 E 28TH St
Suite 314
Long Beach, CA 90806-2702

701 E 28TH St
Suite 400
Long Beach, CA 90806-2778
Phone (562) 981-9308

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as individual
Promoting interoperability
79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal12
Leg revascularization (restoring blood flow)25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43961CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Vardayo M D Inc CurrentSince Dec 1, 2000 Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

701 E 28th St
Ste 400
Long Beach, CA 90806
Phone (562) 424-6040

701 E 28th St
Ste 314
Long Beach, CA 90806
Phone (562) 595-8599

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1740233493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EAST 28TH ST",
            "address_2": "SUITE 314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-981-9308",
            "fax_number": "562-981-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST 28TH ST",
            "address_2": "SUITE 314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-981-9308",
            "fax_number": "562-981-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDAYO",
        "first_name": "JOSEPH",
        "middle_name": "FAMIL",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A43961",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A43961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A439610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.