California Pacific Vascular Laboratory Medical Associate

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CALIFORNIA PACIFIC VASCULAR LABORATORY MEDICAL ASSOCIATE

Practice address

3838 California St
Suite 612
San Francisco, CA 94118-1522

Phone

(415) 221-7056

Fax

(415) 221-7058

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

John B Long, MD

Title

Physician

Phone

(415) 221-7056

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1780704353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "SUITE 612",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181522",
            "telephone_number": "415-221-7056",
            "fax_number": "415-221-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "SUITE 612",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181522",
            "telephone_number": "415-221-7056",
            "fax_number": "415-221-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PACIFIC VASCULAR LABORATORY MEDICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "415-221-7056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZZZ42476Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California Pacific Pathology Medical Group
• California Pacific Pathology Medical Group
• California Pacific Pathology Medical Group
• California Pacific Pathology Medical Group
• California Pacific Specialty Services
• California Psychotherapy Online, Inc.
• California Public Utilities Commission
• California Sleep and Snoring PC
• California Spine Diagnostics Medical GRP Inc
• Alexis Calimeris, NURSE PRACTITIONER

• Vascular Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.