Active NPI
Varicose Vein Solutions, Medical Corporation
- Ambulatory Surgical Clinic/Center
- Tarzana, CA
National Provider Identifier
1811319635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zahi E Nassoura, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Varicose Vein Solutions Medical Corporation
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2121223 | Varicose Vein Solutions | Certificate of waiver | Oct 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Tarzana, CA
- NPI 1386166361
-
- Medical Physician Assistant
- Fresno, CA
- NPI 1154099794
-
- Specialist
- Tarzana, CA
- NPI 1417995622
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.