CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC NPI 1053346189

NPI Information

NPI: 1053346189
Provider Name: CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3855 J ST
SACRAMENTO, CA
ZIP 95816
Phone: (916) 733-0660
Get Directions

CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC is a vascular surgery surgery in Sacramento, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC NPI is 1053346189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3855 J ST
SACRAMENTO, CA
ZIP 95816-520
Phone: (916) 733-0660
Fax: (916) 733-0665

The provider's authorized official is Richard Edward Ward .
The authorized official title is President and has the following contact phone number (916) 733-0660.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ27862Z	MEDICARE PIN	CALIFORNIA
2	GR0049280	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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