GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. (NPI# 1336461516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336461516 |
| Entity Type | Organization |
| Organization Name | GENERAL VASCULAR SURGERY MEDICAL GROUP, INC. |
| Other Organization Name | NONINVASIVE VASCULAR LAB |
| Practice Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5305 |
| Mailing Address |
13851 E 14th St Suite: 202 San Leandro CA 94578-2631 |
| Practice Telephone | 5103474700 |
| Practice Fax Number | 5103474712 |
| Mailing Telephone | 5103474700 |
| Mailing Fax Number | 5103474712 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | DR. ROBERT O GINGERY (PRESIDENT) |
| Authorized Official Telephone | 5103474700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G23370 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| NONINVASIVE VASCULAR LAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558546721 | General Vascular Surgery Medical Group, Inc. | Specialist | 13855 E 14th St, 2nd Floor, San Leandro, CA 94578-2611 | 2008-01-07 |
| 1316982879 | General Vascular Surgery Medical Group, Inc. | Surgery | 13851 E 14th St, Suite 202, San Leandro, CA 94578-2631 | 2006-06-18 |
| Street Address |
20103 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
| 1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
| 1417568916 | Michael A Esparza Md Inc | Surgery | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-08-10 |
| 1417596289 | Linda Ann Scott-hickman | Pharmacist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2019-12-27 |
| 1821598418 | Alyan Ali, M.d., Inc. | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2018-02-20 |
| 1508374489 | David C Bonovich Md | Psychiatry & Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2018-01-13 |
| 1922511278 | Lisa Gaye Quan | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-11-08 |
| 1114439593 | David Paul Rathmann | Speech-Language Pathologist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-10-25 |
| 1205378668 | Jacqueline Margolese | Nurse Practitioner | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2016-11-15 |
| 1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154702397 | Phillip Moise | Specialist | 2881 Castro Valley Blvd Ste 3, Castro Valley, CA 94546-5567 | 2015-06-12 |
| 1760815476 | Alexandra Noemi Schultz | Specialist | 20317 Wisteria St Apt 5, Castro Valley, CA 94546-4138 | 2013-08-16 |
| 1811121809 | East Bay Pulmonary Specialists Inc. | Specialist | 20410 Lake Chabot Rd, Suite 3, Castro Valley, CA 94546-5312 | 2009-05-06 |
| 1255530077 | Douglas J Abeles, Md, Inc. | Specialist | 21030 Redwood Road, Castro Valley, CA 94546-5920 | 2007-07-12 |
| 1710080684 | Steven R Una | Specialist | 20130 Lake Chabot Rd Ste 307, Castro Valley, CA 94546-5340 | 2006-09-06 |
| 1033173919 | R Scott Snyder | Specialist | 20101a Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2006-04-17 |
| 1225024219 | Ravi S Panjabi | Specialist | 19850 Lake Chabot Rd, Castro Valley, CA 94546 | 2005-09-23 |
| 1780022640 | Joseph A Karam, Md | Specialist | 19845 Lake Chabot Rd, Suite 200, Castro Valley, CA 94546-4055 | 2013-06-12 |
| 1982960084 | East Bay Trauma & Acute Care Surgery Inc. | Specialist | 19845 Lake Chabot Rd, 200, Castro Valley, CA 94546-4055 | 2012-04-03 |
| 1063739340 | Michael S Mancina Md and Asssociates of California | Specialist | 22101 Redwood Rd, Castro Valley, CA 94546-7107 | 2010-04-27 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on GENERAL VASCULAR SURGERY MEDICAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.