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DR. CARLETON THOMAS VANGSNESS MD NPI 1609829746


NPI Information

NPI: 1609829746
Provider Name: DR. CARLETON THOMAS VANGSNESS, MD
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
1520 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-5860
Get Directions

DR. Carleton Thomas Vangsness, MD is a sports medicine orthopaedic surgery in Los Angeles, CA. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. DR. Carleton Thomas Vangsness, MD NPI is 1609829746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1520 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033-314
Phone: (323) 442-5860
Fax: (323) 442-6990

The NPI 1609829746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/30/2016.


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
1207X00000XOrthopaedic SurgeryG56949CALIFORNIANo
2207XX0005XOrthopaedic SurgerySports MedicineG56949CALIFORNIAYes

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
100G569490OTHERCALIFORNIABLUE SHIELD
2B58008MEDICARE UPINCALIFORNIA
300G569490MEDICAIDCALIFORNIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.