Organization Active NPI

The Vasectomy Clinic, P.C.

  • Surgery Physician
  • Portland, OR
National Provider Identifier
1740943869
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
THE VASECTOMY CLINIC, P.C.
Practice address
12511 SW 68TH Ave Ste 150
Portland, OR 97223-8298
Phone
(800) 636-4090
Fax
(206) 985-2875
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Shrikesh Majithia
Title
Ceo
Phone
(206) 219-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

12511 SW 68TH Ave Ste 150
Portland, OR 97223-8298

Mailing address

12511 SW 68TH Ave Ste 150
Portland, OR 97223-8298
Phone (800) 636-4090

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2251230Vasectomy Clinic, the12511 SW 68TH Ave, Ste 150, Portland, OR 97223Provider-performed microscopyJan 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1740943869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 SW 68TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238298",
            "telephone_number": "800-636-4090",
            "fax_number": "206-985-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 SW 68TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238298",
            "telephone_number": "800-636-4090",
            "fax_number": "206-985-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VASECTOMY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "MAJITHIA",
        "authorized_official_first_name": "SHRIKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-219-1201"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.