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PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE INC. NPI 1134842933


NPI Information

NPI: 1134842933
Provider Name: PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE, INC.

Doing Business As: PACIFIC CARDIOVASCULAR & VEIN INSTITUTE

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 05D2281502

Address:
100 N BRENT ST STE 201
VENTURA, CA
ZIP 93003
Phone: (805) 643-3330
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PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE, INC. is a vascular surgery surgery in Ventura, 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. PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE, INC. NPI is 1134842933. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Cardiovascular & Vein Institute.

The provider's business location address is:

100 N BRENT ST STE 201
VENTURA, CA
ZIP 93003-835
Phone: (805) 643-3330
Fax: (805) 643-3331

The provider's authorized official is Taren Cessna .
The authorized official title is Administrator and has the following contact phone number (805) 620-3499.

The CLIA number assigned to this NPI record is 05D2281502 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2022 and was last updated on 3/25/2024.


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
12086S0129XSurgeryVascular SurgeryYes

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

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