Active NPI
Los Angeles Vascular Services, Inc
- Vascular Surgery Physician
- Montebello, CA
National Provider Identifier
1871862607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A-70962
- Legal business name
- LOS ANGELES VASCULAR SERVICES, INC
- Practice address
- 620 W Beverly Blvd
Montebello, CA 90640-3624 - Phone
- (323) 869-0871
- Fax
- (323) 869-0875
- NPI assigned
- Dec 22, 2011
- Last updated
- Jan 12, 2024
- 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. Guatavo Torres, MD
- Title
- President
- Phone
- (323) 869-0871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A-70962 | CA | Primary |
Addresses
Primary practice location
620 W Beverly Blvd
Montebello, CA 90640-3624
Mailing address
1012 W Beverly Blvd
Suite 873
Montebello, CA 90640-4139
Phone (323) 869-0871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 S Montebello Blvd
Ste C
Montebello, CA 90640
620 W Beverly Blvd
Montebello, CA 90640
Phone (323) 869-0871
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Montebello, CA
- NPI 1225138498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1871862607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 W BEVERLY BLVD",
"address_2": "SUITE 873",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404139",
"telephone_number": "323-869-0871",
"fax_number": "323-869-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403624",
"telephone_number": "323-869-0871",
"fax_number": "323-869-0875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES VASCULAR SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-22",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "GUATAVO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-869-0871",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A-70962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
- Yvette Taina Lopez
- Lorenzo E Tizon MD
- Los Angeles County Department of Mental Health (Mmet)
- Los Angeles County Department of Mental Health (Roybal School Based Program)
- Los Angeles Hematology-Oncology Medical Group
- Lotus Blossom Therapy Center (Lotus Blossom Community Services)
- Ramona Loza
- Christina Lu
- Rachel Lu
- Roberto Luarca, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.