NPIMap

Organization Active NPI

Golden State Heart & Vascular Associates

Doing business as Bay Area Vein and Vascular Center, Inc.

  • Specialist
  • Burlingame, CA
National Provider Identifier
1982246575
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GOLDEN STATE HEART & VASCULAR ASSOCIATES
Doing business as
Bay Area Vein and Vascular Center, Inc.
Practice address
1850 El Camino Real Ste 200
Burlingame, CA 94010
Phone
(650) 697-2431
NPI assigned
Oct 15, 2019
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
James Joye, MDNPI 1396751889
Title
President
Phone
(650) 697-2431

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

1850 El Camino Real Ste 200
Burlingame, CA 94010

Mailing address

1850 El Camino Real Ste 200
Burlingame, CA 94010-3102
Phone (650) 697-2431

Other practice location 1

2490 Hospital Dr Ste 106
Mountain View, CA 94040-4117
Phone (650) 695-0955

Other practice location 2

65 Neilson St Ste 135
Watsonville, CA 95076-2491
Phone (831) 717-4687

Other practice location 3

2 Lower Ragsdale Dr Ste 160
Monterey, CA 93940-5840
Phone (831) 717-4687

Other names 1

  • Bay Area Vein and Vascular Center, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200429000472 CA Part B Supplier - Clinic/Group Practice 5890125157 Receives reassigned benefits from 14 practitioners
Practice locations: Burlingame, CA; Watsonville, CA; Salinas, CA; Mountain View, CA; Monterey, CA; Los Gatos, CA; Daly City, CA
O20230103000186 CA Part B Supplier - Ambulatory Surgical Center 5890125157 Practice locations: Mountain View, CA
O20230105000108 CA Part B Supplier - Ambulatory Surgical Center 5890125157 Practice locations: Monterey, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982246575. Details of each certification follow.

Ambulatory surgical center certification: CCN 55C0001151

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Golden State Heart & Vascular Associates
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 10, 2023
Last certification
Jun 13, 2023
Ownership / control type
Proprietary
Facility address
2 Lower Ragsdale Drive
Monterey, CA 93940

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
05D2004895Bay Area Vein and Vascular Center1850 El Camino Real, Ste 200, Burlingame, CA 94010Certificate of waiverMar 14, 2028
05D2224363Golden State Heart and Vascular Associates2 Lower Ragsdale Suite 160, Monterey, CA 93940Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

15075 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 879-5900

2 Lower Ragsdale Dr
Ste 100
Monterey, CA 93940

2 Lower Ragsdale Dr
Ste 110
Monterey, CA 93940

1174 Castro St
Ste 291
Mountain View, CA 94040

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1982246575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 EL CAMINO REAL STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103102",
            "telephone_number": "650-697-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 EL CAMINO REAL STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "94010",
            "telephone_number": "650-697-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Hospital Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404117",
            "country_code": "US",
            "telephone_number": "650-695-0955",
            "fax_number": "650-695-0955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Neilson St Ste 135",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762491",
            "country_code": "US",
            "telephone_number": "831-717-4687",
            "fax_number": "831-901-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Lower Ragsdale Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405840",
            "country_code": "US",
            "telephone_number": "831-717-4687",
            "fax_number": "831-901-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN STATE HEART & VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "JOYE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-697-2431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Vein and Vascular Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.