NPIMap

Organization Active NPI

California Vascular & Vein Center, Inc

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1972803070
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C53592 Issued in CA
Legal business name
CALIFORNIA VASCULAR & VEIN CENTER, INC
Practice address
2808 F St Ste a
Bakersfield, CA 93301-1833
Phone
(661) 873-4216
Fax
(661) 873-4218
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mallik Thatipelli, MD
Title
Director
Phone
(661) 873-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X C53592 CA Primary

Addresses

Primary practice location

2808 F St Ste a
Bakersfield, CA 93301-1833

Mailing address

2808 F St Ste a
Bakersfield, CA 93301-1833
Phone (661) 873-4216

National Provider Directory

National Provider Directory

Locations

1680 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 339-0328

Practitioners & affiliated clinicians

Practitioners 3

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1972803070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 F ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011833",
            "telephone_number": "661-873-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 F ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011833",
            "telephone_number": "661-873-4216",
            "fax_number": "661-873-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA VASCULAR & VEIN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "THATIPELLI",
        "authorized_official_first_name": "MALLIK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-873-4216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C53592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.