VASCULAR ACCESS CENTER OF SOUTH LOS ANGELES LLC (NPI# 1346646619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346646619 |
| Entity Type | Organization |
| Organization Name | VASCULAR ACCESS CENTER OF SOUTH LOS ANGELES LLC |
| Practice Address |
11411 Brookshire Ave Suite 301 Downey CA 90241-5026 |
| Mailing Address |
2929 Arch Street Suite 1705 Philadelphia PA 19104-2866 |
| Practice Telephone | 5628624027 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | JAMES MCGUCKIN (CEO) |
| Authorized Official Telephone | 2153823680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
11411 BROOKSHIRE AVE SUITE 301 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797381 | Ragaa Z Iskarous Md Inc | General Practice | 11411 Brookshire Ave, #201, Downey, CA 90241 | 2006-02-02 |
| 1326441817 | Shoshana Polevoy | Nurse Practitioner | 11411 Brookshire Ave, Suite 508, Downey, CA 90241-5026 | 2014-09-29 |
| 1750702270 | John Tilley | Pharmacist | 11411 Brookshire Ave, Suite #107, Downey, CA 90241-5026 | 2013-12-31 |
| 1225386915 | United Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1578811279 | Miracle Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1417240714 | Andrew D Rah, A California Medical Corp | Legal Medicine | 11411 Brookshire Ave, Suite 201, Downey, CA 90241-5026 | 2011-05-18 |
| 1821397670 | Omar & Yusuf Dental Corp | Dentist | 11411 Brookshire Ave, Suite 405, Downey, CA 90241-5026 | 2011-03-18 |
| 1508183872 | Stat Sleep Center | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2010-04-27 |
| 1487985818 | Drmc-western Osteopathic Center for Well-being | Neuromusculoskeletal Medicine & OMM | 11411 Brookshire Ave, Suite #304, Downey, CA 90241-5026 | 2010-01-25 |
| 1437489010 | Natalie Ann Nevins | Neuromusculoskeletal Medicine & OMM | 11411 Brookshire Ave, Suite #304, Downey, CA 90241-5026 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356519144 | Peter Plato Lew | Radiology | 9333 Imperial Hwy, Department of Radiology, Downey, CA 90242-2812 | 2008-02-14 |
| 1447380506 | James F Mcguckin Md Inc | Radiology | 11411 Brookshire Ave, Suite 301, Downey, CA 90241-5003 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
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| 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.