Organization Active NPI

MV Surgical Associates LLC

  • Surgery Physician
  • Stockton, CA
National Provider Identifier
1851608798
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2009006855 Issued in MO
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

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Dinesh Vyas, MDNPI 1528274503
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL www.goldengateurology.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230220001313 CA Part B Supplier - Clinic/Group Practice 7517154958 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA; Stockton, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.