Active NPI
Mr Vein
- Phlebotomy Technician
- Buena Park, CA
National Provider Identifier
1942996343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- MR VEIN
- Practice address
- 8601 Roland St Ste B
Buena Park, CA 90621-4812 - Phone
- (714) 367-4688
- Fax
- (657) 452-0551
- NPI assigned
- Apr 18, 2023
- 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
- Mr. Anthony F. Johns, CPT1, CET
- Title
- Director
- Phone
- (714) 367-4688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
8601 Roland St Ste B
Buena Park, CA 90621-4812
Mailing address
PO Box 391
Buena Park, CA 90621-0391
Phone (714) 367-4688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295495737 | Other | CA | NURSE PRACTITONER |
Other names 1
- Mr. Vein LLC
National Provider Directory
National Provider DirectoryLocations
8601 Roland St
Ste B
Buena Park, CA 90621
Phone (714) 367-4688
1310 S Beach Blvd
La Habra, CA 90631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1942996343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 391",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906210391",
"telephone_number": "714-367-4688",
"fax_number": "657-452-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 ROLAND ST STE B",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906214812",
"telephone_number": "714-367-4688",
"fax_number": "657-452-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MR VEIN",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "JOHNS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "714-367-4688",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPT1, CET"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITONER",
"identifier": "1295495737",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mr. Vein LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.