Organization Active NPI

Bay Area Vein and Vascular Center

  • Vascular Surgery Physician
  • Burlingame, CA
National Provider Identifier
1760771596
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G78571 Issued in CA
Legal business name
BAY AREA VEIN AND VASCULAR CENTER
Practice address
1828 El Camino Real
Suite 611
Burlingame, CA 94010-3120
Phone
(650) 697-2431
Fax
(650) 697-3659
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Dr. Raju Harshadrai Gandhi, M.D.
Title
President/Owner
Phone
(650) 697-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G78571 CA Primary

Addresses

Primary practice location

1828 El Camino Real
Suite 611
Burlingame, CA 94010-3120

Mailing address

1828 El Camino Real
Suite 611
Burlingame, CA 94010-3103
Phone (650) 697-2431

National Provider Directory

National Provider Directory

Locations

1850 El Camino Real
#200
Burlingame, CA 94010
Phone (650) 697-2431

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1760771596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 611",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-697-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 611",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103120",
            "telephone_number": "650-697-2431",
            "fax_number": "650-697-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA VEIN AND VASCULAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAJU",
        "authorized_official_middle_name": "HARSHADRAI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "650-697-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G78571",
            "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 Apr 1, 2011; 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.