Organization Active NPI

Varicose Vein Solutions, Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Tarzana, CA
National Provider Identifier
1811319635
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VARICOSE VEIN SOLUTIONS, MEDICAL CORPORATION
Practice address
18840 Ventura Blvd Ste 100B
Tarzana, CA 91356-3301
Phone
(818) 345-6126
Fax
(818) 345-5061
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Zahi E Nassoura, M.D.NPI 1417995622
Title
Co-President
Phone
(818) 345-6126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

18840 Ventura Blvd Ste 100B
Tarzana, CA 91356-3301

Mailing address

18840 Ventura Blvd Ste 100B
Tarzana, CA 91356-3301
Phone (818) 345-6126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151110001190 CA Part B Supplier - Ambulatory Surgical Center 5890005516 Receives reassigned benefits from 2 practitioners
Practice locations: Tarzana, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Varicose Vein Solutions Medical CorporationCCN 05C0002163
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2121223Varicose Vein Solutions18840 Ventura Blvd Ste 100B, Tarzana, CA 91356Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1811319635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD STE 100B",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563301",
            "telephone_number": "818-345-6126",
            "fax_number": "818-345-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD STE 100B",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563301",
            "telephone_number": "818-345-6126",
            "fax_number": "818-345-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE VEIN SOLUTIONS, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "NASSOURA",
        "authorized_official_first_name": "ZAHI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "818-345-6126",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.