Active NPI
Vein Place Inc
Doing business as The Vein Place Inc
- Vascular Surgery Physician
- Santa Ana, CA
National Provider Identifier
1841810363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VEIN PLACE INC
- Doing business as
- The Vein Place Inc
- Practice address
- 1945 E 17TH St Ste 107
Santa Ana, CA 92705-6862 - Phone
- (714) 366-6666
- NPI assigned
- Apr 24, 2020
- 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
- Kimberly Sharifi
- Title
- Owner
- Phone
- (714) 500-7714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1945 E 17TH St Ste 107
Santa Ana, CA 92705-6862
Mailing address
1945 E 17TH St Ste 107
Santa Ana, CA 92705-6862
Other names 1
- The Vein Place Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1841810363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 E 17TH ST STE 107",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 E 17TH ST STE 107",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056862",
"telephone_number": "714-366-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN PLACE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-24",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "SHARIFI",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-500-7714"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Vein Place Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.