Active NPI
MV Surgical Associates LLC
- Surgery Physician
- Stockton, CA
National Provider Identifier
1851608798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2009006855
- Legal business name
- MV SURGICAL ASSOCIATES LLC
- Practice address
- 3133 W March LN Ste 1040B
Stockton, CA 95219-2360 - Phone
- (314) 260-7609
- NPI assigned
- Sep 13, 2010
- 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
- Dr. Dinesh Vyas, MD
- Title
- Surgeon
- Phone
- (314) 853-8584
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2009006855 | MO | Primary |
Addresses
Primary practice location
3133 W March LN Ste 1040B
Stockton, CA 95219-2360
Mailing address
3133 W March LN Ste 1040B
Stockton, CA 95219-2360
Phone (314) 260-7609
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.goldengateurology.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3133 W March Ln
Ste 1040B
Stockton, CA 95219
Phone (314) 260-7609
5213 Hampton Ave
Saint Louis, MO 63109
Phone (314) 353-5540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Stockton, CA
- NPI 1528274503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1851608798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 W MARCH LN STE 1040B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192360",
"telephone_number": "314-260-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 W MARCH LN STE 1040B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192360",
"telephone_number": "314-260-7609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MV SURGICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "VYAS",
"authorized_official_first_name": "DINESH",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "314-853-8584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MO",
"license": "2009006855",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.goldengateurology.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3133 W March Ln Ste 1040B",
"city": "Stockton",
"state": "CA",
"country_code": "US",
"postal_code": "952192360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.