Organization Active NPI

Vascular Care Specialists of Los Angeles

  • Vascular Surgery Physician
  • Arcadia, CA
National Provider Identifier
1972181493
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR CARE SPECIALISTS OF LOS ANGELES
Practice address
488 E Santa Clara St Ste 303
Arcadia, CA 91006-7231
Phone
(626) 275-9566
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Peter Lin, MDNPI 1982784625
Title
Owner
Phone
(626) 275-9566

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

488 E Santa Clara St Ste 303
Arcadia, CA 91006-7231

Mailing address

488 E Santa Clara St Ste 303
Arcadia, CA 91006-7231
Phone (626) 275-9566

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL ARCADIA
CONNECT URL NA Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416000978 CA Part B Supplier - Clinic/Group Practice 5698183440 Receives reassigned benefits from 2 practitioners
Practice locations: Monterey Park, CA; San Gabriel, CA; Montebello, CA; Arcadia, CA; Los Angeles, CA; Alhambra, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2274228Vascular Care Specialists Los Angeles488 E Santa Clara St #303, Arcadia, CA 91006Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

901 S Fremont Ave
Ste 218
Alhambra, CA 91803
Phone (626) 269-9993

488 E Santa Clara St
Ste 303
Arcadia, CA 91006
Phone (626) 275-9566

Practitioners & affiliated clinicians

Practitioners 5

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1972181493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST STE 303",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-275-9566",
            "fax_number": "626-269-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST STE 303",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-275-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR CARE SPECIALISTS OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-275-9566",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ARCADIA",
            "affiliation": "N",
            "address_1": "612 W Duarte Rd Ste 303",
            "city": "Arcadia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910079231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 S Fremont Ave Ste 218",
            "city": "Alhambra",
            "state": "CA",
            "country_code": "US",
            "postal_code": "918034705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.