Total Vascular Surgery Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

20A8767 Issued in CA

Legal business name

TOTAL VASCULAR SURGERY INC

Practice address

5 Medical Plaza Drive
Suite 200
Roseville, CA 95661-2867

Phone

(916) 784-1836

Fax

(916) 784-1880

NPI assigned

Oct 21, 2006

Organization subpart

No

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

Authorized official

Name

Jung J Lim, D.O.NPI 1689757049

Title

Owner and Surgeon

Phone

(916) 784-1836

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jung J Lim, D.O.

  • Vascular Surgery Physician
  • Roseville, CA
  • NPI 1689757049
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1851474217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-784-1836",
            "fax_number": "916-784-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-784-1836",
            "fax_number": "916-784-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VASCULAR SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER AND SURGEON",
        "authorized_official_telephone_number": "916-784-1836",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "20A8767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX87670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaias Torres
• Jessica Torres
• Nancy P. Torres, MD
• Paola Torres
• John C. Torris, MD
• Michael J. L. Totaro, MD
• Jennifer L. Toth, NP
• Darren Edward Totty, PHARM.D.
• Kristyn Towers, LMFT
• Reid A. Towery, MD

• Vascular Surgery Physician in Roseville, CA
• Providers in Roseville, 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 17, 2008; 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.