Vascular Surgery Group, Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR SURGERY GROUP, INC.

Practice address

13851 E 14TH St Ste 202
San Leandro, CA 94578-2627

Phone

(510) 357-4006

Fax

(510) 347-4712

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Abid C Mogannam, MD

Title

Secretary

Phone

(510) 347-9191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1942009519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782627",
            "telephone_number": "510-347-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782627",
            "telephone_number": "510-357-4006",
            "fax_number": "510-347-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834460",
            "country_code": "US",
            "telephone_number": "510-357-4006",
            "fax_number": "510-347-4712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27200 Calaroga Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454339",
            "country_code": "US",
            "telephone_number": "510-357-4006",
            "fax_number": "510-347-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASCULAR SURGERY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "MOGANNAM",
        "authorized_official_first_name": "ABID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "510-347-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Gabriela Vargas Gomez
• Andrea Lizbeth Vargas-Vera
• Earl Lee Vargas
• Zayra Vargas
• Gregory David Varnau
• Edward Rey Vasquez
• Lirany Mayela Vasquez
• Sarah Rose Vasquez
• Ulisses Vasquez
• Kevin Eugene Vaughn Jr.

• Vascular Surgery Physician in San Leandro, CA
• Providers in San Leandro, 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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.