Valley Village Vein Clinic PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VALLEY VILLAGE VEIN CLINIC PC

Practice address

12840 Riverside Dr
Ste 300
Valley Village, CA 91607-3327

Phone

(847) 593-8616

Fax

(888) 398-3230

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Flora Katsnelson, MD

Title

Owner

Phone

(847) 593-8616

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

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

• Christopher Sung-Bo Kim, M.D.

  • Surgery Physician
  • Torrance, CA
  • NPI 1588155477
  Medicare reassignment Care Compare group NPD
• Sarah Pradka Lucas, M.D.

  • Vascular Surgery Physician
  • La Jolla, CA
  • NPI 1952537326
  Medicare reassignment Care Compare group NPD
• Richard A Guest, M.D.

  • Vascular Surgery Physician
  • Northridge, CA
  • NPI 1811064728
  Medicare reassignment NPD
• Charles Maletz, M.D.

  • Family Medicine Physician
  • Vista, CA
  • NPI 1346453628

  Multi-Specialty

  Medicare reassignment NPD
• Robert McWhirter, M.D.

  • Emergency Medicine Physician
  • Solana Beach, CA
  • NPI 1316234966
  Medicare reassignment NPD
• David Zander, M.D.

  • Specialist
  • San Clemente, CA
  • NPI 1922023399
  Medicare reassignment

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1811201643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650832",
            "telephone_number": "262-877-8752",
            "fax_number": "888-398-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR",
            "address_2": "STE 300",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073327",
            "telephone_number": "847-593-8616",
            "fax_number": "888-398-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAGE VEIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-593-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Village Health Clinic PC
• Valley Village Home Care Inc
• Valley Village Home Health, Inc.
• Valley Village Hospice, Inc.
• Valley Village Senior Living, Inc.
• Vantage Health Sciences
• Janet Vargas
• Jennypher Nayeli Vasquez
• Antonia Velazquez
• Elizabeth A Vendely, LCSW

• Vascular Surgery Physician in Valley Village, CA
• Providers in Valley Village, 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 Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.