LOS ANGELES VASCULAR SPECIALISTS A PROFESSIONAL MEDICAL CORPORATION (NPI# 1437182136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437182136 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES VASCULAR SPECIALISTS A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
15107 Vanowen St Van Nuys CA 91405-4542 |
| Mailing Address |
Po Box 14250 Van Nuys CA 91409-4250 |
| Practice Telephone | 8189025786 |
| Practice Fax Number | 8189043708 |
| Mailing Telephone | 8189025786 |
| Mailing Fax Number | 8189043708 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-02-25 |
| Authorized Official Name | GEORGE ANDROS (PRESIDENT) |
| Authorized Official Telephone | 8189025786 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A74720 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A19865 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | CC8660 | 01 |
| Street Address |
15107 VANOWEN ST |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508854225 | Apostolos Anthony Lekkos | Emergency Medicine | 15107 Vanowen St, Van Nuys, CA 91405 | 2005-10-06 |
| 1023622586 | Marina A Salama Md Inc | Pediatrics | 15107 Vanowen St, Van Nuys, CA 91405-4597 | 2020-09-02 |
| 1831708452 | Emma Brand Constantinou | Physician Assistant | 15107 Vanowen St, Van Nuys, CA 91405-4597 | 2020-07-29 |
| 1467075531 | Rachel Hroncich | Pharmacist | 15107 Vanowen St, Van Nuys, CA 91405 | 2020-05-24 |
| 1376165563 | Julie Tang | Dietitian, Registered | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2020-05-11 |
| 1265062913 | Suzanne Patricia Graf | Clinical Nurse Specialist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2020-01-22 |
| 1760028831 | Mary Catherine Soliva | Physical Therapist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-11-22 |
| 1538705215 | Team Hospital Medicine Physicians of California Medical Group Inc | Hospitalist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-11-18 |
| 1952867020 | Faula Anne Pena Bordon | Occupational Therapist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-02-14 |
| 1598220881 | John Joseph Broz IIi | Physician Assistant | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588895593 | Sciona Laboratory Inc | Surgery | 5632 Van Nuys Blvd, Ste 379, Van Nuys, CA 91401-4602 | 2009-08-07 |
| 1073619748 | Santiago Zamudio, M.d., Inc | Surgery | 14624 Sherman Way, Suite 101, Van Nuys, CA 91405-2241 | 2006-09-16 |
| 1255437901 | Santiago Zamudio | Surgery | 14624 Sherman Way, Suite 101, Van Nuys, CA 91405-2241 | 2006-09-16 |
| 1356378566 | James Alton Burks Jr. | Surgery | 16917 Enadia Way, Van Nuys, CA 91406-3602 | 2006-06-26 |
| 1972540540 | George Andros | Surgery | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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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.