VASCULAR LAB OF SAN JOSE LP (NPI# 1821499260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821499260 |
| Entity Type | Organization |
| Organization Name | VASCULAR LAB OF SAN JOSE LP |
| Other Organization Name | SILICON VALLEY INTERVENTIONAL CENTER |
| Practice Address |
1174 Castro St Suite 200 Mountain View CA 94040-2568 |
| Practice Telephone | 7138127586 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | ERIC FOURNET (CFO) |
| Authorized Official Telephone | 7138127586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Silicon Valley Interventional Center | Doing Business As Name - Organization |
| Street Address |
1174 CASTRO ST SUITE 200 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215989637 | Camino Medical Group | Internal Medicine | 1174 Castro St, Mountain View, CA 94040-2568 | 2006-05-16 |
| 1952794109 | San Jose Ambulatory Surgery Center,lp | Clinic/Center | 1174 Castro St, Suite 201, Mountain View, CA 94040-2568 | 2015-03-12 |
| 1750714077 | Miramonte Internal Medicine, Inc. | Internal Medicine | 1174 Castro St, Suite 275, Mountain View, CA 94040-2568 | 2013-08-12 |
| 1568716017 | Pradip Rustagi M.d. Inc | Internal Medicine | 1174 Castro St, Suite 275, Mountain View, CA 94040-2568 | 2012-11-06 |
| 1235443011 | Hsiao-ting Chen | Dentist | 1174 Castro St, Ste 114, Mountain View, CA 94040-2568 | 2010-08-04 |
| 1649332990 | Peninsula Laser Eye Medical Group, Inc | Ophthalmology | 1174 Castro St, Suite 100, Mountain View, CA 94040-2568 | 2006-12-14 |
| 1164584413 | Lee Shahinian Jr. | Ophthalmology | 1174 Castro St, Suite 100, Mountain View, CA 94040-2568 | 2006-12-14 |
| 1578625810 | Daniel J Beers | Ophthalmology | 1174 Castro St, Suite 100, Mountain View, CA 94040-2568 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245245877 | Cvi Medical Group, Inc. | Internal Medicine | 2660 Grant Rd, Mountain View, CA 94040-4315 | 2006-07-30 |
| 1417962994 | Edward Bough | Internal Medicine | 2490 Hospital Dr, Ste311, Mountain View, CA 94040-4122 | 2006-07-30 |
| 1891138475 | Peninsula Cardiovascular | Internal Medicine | 2490 Hospital Dr, Suite 212, Mountain View, CA 94040-4122 | 2013-04-12 |
| 1982966214 | Cindy Wang | Internal Medicine | 2490 Hospital Dr Ste 311, Mountain View, CA 94040-4126 | 2012-06-12 |
| 1578889960 | Rajesh Jaganath | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2010-04-12 |
| 1437329562 | Deepu Nair | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2008-03-05 |
| 1992891493 | Joseph Chungsun Chao | Internal Medicine | 525 South Drive, Suite 105, Mountain View, CA 94040-4211 | 2006-10-04 |
| 1508872086 | Ibrahim Saah | Internal Medicine | 2660 Grant Rd, Mountain View, CA 94040-4315 | 2006-08-01 |
| 1558378711 | Martin Klughaupt | Internal Medicine | 2660 Grant Rd, Mountain View, CA 94040-4315 | 2006-08-01 |
| 1912912569 | Clayton Bavor | Internal Medicine | 2490 Hospital Dr, Suite 311, Mountain View, CA 94040 | 2006-07-30 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
Please comment or provide details below to improve the information on VASCULAR LAB OF SAN JOSE LP.
| 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.