Organization Active NPI

Vascular & General Surgery Associates

  • Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1891723607
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VASCULAR & GENERAL SURGERY ASSOCIATES
Practice address
3791 Katella Ave Ste 201
Los Alamitos, CA 90720-2016
Phone
(562) 596-6736
Fax
(562) 598-5492
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Dr. Simon B RayhanabadNPI 1710910047
Title
Surgeon/General Partner
Phone
(562) 596-6736

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

3791 Katella Ave Ste 201
Los Alamitos, CA 90720-2016

Mailing address

3791 Katella Ave Ste 201
Los Alamitos, CA 90720-2016
Phone (562) 596-6736

Other practice location 1

3747 Worsham Ave Ste 200
Long Beach, CA 90808-1734
Phone (562) 630-8821

Other identifiers 1

IdentifierTypeStateIssuer
GR0046780MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013000339 CA Part B Supplier - Clinic/Group Practice 7618937871 Receives reassigned benefits from 3 practitioners
Practice locations: Long Beach, CA; Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

3791 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 206-1312

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1891723607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE STE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202016",
            "telephone_number": "562-596-6736",
            "fax_number": "562-598-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE STE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202016",
            "telephone_number": "562-596-6736",
            "fax_number": "562-598-5492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 Worsham Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081734",
            "country_code": "US",
            "telephone_number": "562-630-8821",
            "fax_number": "562-421-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR & GENERAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "RAYHANABAD",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SURGEON/GENERAL PARTNER",
        "authorized_official_telephone_number": "562-596-6736",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.