Pacific Vascucare Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC VASCUCARE SURGERY CENTER

Practice address

1660 W 3Rd St
Los Angeles, CA 90017-1138

Phone

(213) 748-1414

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Dayana Figueroa

Title

Credentialing Manager

Phone

(310) 448-2693

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pacific Vascucare Surgery CenterCCN 05C0002226

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pacific Vascucare, Inc.

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
  • NPI 1578882965

  Member Of

  NPD member

Practitioners 7

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

• Gabriel G. Carabello, MD

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1164453320
  NPD
• Kamran Karimi, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1730470220
  NPD
• Edward Neymark, MD

  • Vascular & Interventional Radiology Physician
  • Newport Beach, CA
  • NPI 1447368022
  NPD
• Parham Parto, M.D., M.P.H.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1629212378
  NPD
• Steven Paris Posner, M.D.

  • Vascular Surgery Physician
  • Bellflower, CA
  • NPI 1083684872
  NPD
• Emily Howlett

  • Physician Assistant
  • Portland, OR
  • NPI 1225706088
  NPD
• Jim-Jer Hwu, MD

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1275634248
  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1770072803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171138",
            "telephone_number": "213-748-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VASCUCARE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "310-448-2693"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Senior Medical Group
• Pacific Sleep Medicine Services, Inc.
• Pacific Sleep Medicine, a Medical Corporation
• Pacific Specialists Imaging Inc
• Pacific Surgical Care
• Pacific Vascucare, Inc.
• Pacific West Coast Health Medical Therapy Center Inc.
• Pacific West Counseling Center Inc
• Pacific West Health Center
• Pacifica Foundation LLC.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.