BAY AREA VEIN AND VASCULAR CENTER (NPI# 1760771596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760771596 |
| Entity Type | Organization |
| Organization Name | BAY AREA VEIN AND VASCULAR CENTER |
| Practice Address |
1828 El Camino Real Suite 611 Burlingame CA 94010-3120 |
| Mailing Address |
1828 El Camino Real Suite 611 Burlingame CA 94010-3103 |
| Practice Telephone | 6506972431 |
| Practice Fax Number | 6506973659 |
| Mailing Telephone | 6506972431 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | DR. RAJU HARSHADRAI GANDHI (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6506972431 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G78571 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1828 EL CAMINO REAL SUITE 611 |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532145 | Simon Kwanmin Lee | Internal Medicine | 1828 El Camino Real, Suite 406, Burlingame, CA 94010-3103 | 2005-07-21 |
| 1124409008 | Jnz Medical Group, Inc. | Acupuncturist | 1828 El Camino Real, Ste. 804, Burlingame, CA 94010-3103 | 2015-06-16 |
| 1487032900 | Apollo Family Medicine and Sleep Medicine Inc | Family Medicine | 1828 El Camino Real, Suite 507, Burlingame, CA 94010-3103 | 2015-05-16 |
| 1609263961 | Bay Area Union Health Center | Internal Medicine | 1828 El Camino Real, Suite 405, Burlingame, CA 94010-3103 | 2015-04-23 |
| 1285043554 | Enda W Trinh | Nurse Practitioner | 1828 El Camino Real, Suite 706, Burlingame, CA 94010-3103 | 2014-08-12 |
| 1730594375 | Chien-chung Calvin Wang | Acupuncturist | 1828 El Camino Real, Suite 401, Burlingame, CA 94010-3103 | 2014-06-23 |
| 1104237031 | Intentional Health, An Acupuncture and Holistic Healing Corp. | Acupuncturist | 1828 El Camino Real, #401, Burlingame, CA 94010-3103 | 2014-05-14 |
| 1881019040 | Julie Jones | Registered Nurse | 1828 El Camino Real, 706, Burlingame, CA 94010-3103 | 2014-02-25 |
| 1811322258 | Dr. Zhou's Ob/gyn, A Professional Corporation | Obstetrics & Gynecology | 1828 El Camino Real, Suite 806, Burlingame, CA 94010-3103 | 2013-09-04 |
| 1790118271 | Simone Masson | Nurse Practitioner | 1828 El Camino Real, #507, Burlingame, CA 94010-3103 | 2013-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| 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 |
|---|---|---|---|---|
| 1194907162 | Owen Palmer | Surgery | 1501 Trousdale Dr Fl 5, Burlingame, CA 94010-4506 | 2007-12-03 |
| 1144281106 | Raju Harsha Gandhi | Surgery | 1850 El Camino Real, Suite 200, Burlingame, CA 94010-3118 | 2006-03-30 |
| 1801938485 | John Beare | Surgery | 1501 Trousdale Dr, 5th Floor, Burlingame, CA 94010-4506 | 2007-02-12 |
| 1073654083 | John E Rosenman | Surgery | 1501 Trousdale Dr, 5th Floor, Burlingame, CA 94010-4506 | 2007-02-11 |
| 1598839052 | Stephanie Lin | Surgery | 1501 Trousdale Dr, 5th Floor, Burlingame, CA 94010-4506 | 2006-11-17 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
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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.