Provider Type Icon

INTERVENTIONAL VASCULAR INSTITUTE OF SAN JOSE LLC NPI 1194913897


NPI Information

NPI: 1194913897
Provider Name: INTERVENTIONAL VASCULAR INSTITUTE OF SAN JOSE, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
105 N BASCOM AVE
SAN JOSE, CA
ZIP 95128
Phone: (408) 918-0405
Get Directions

INTERVENTIONAL VASCULAR INSTITUTE OF SAN JOSE, LLC is a vascular and interventional radiology radiology in San Jose, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. INTERVENTIONAL VASCULAR INSTITUTE OF SAN JOSE, LLC NPI is 1194913897. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 N BASCOM AVE
SAN JOSE, CA
ZIP 95128-811
Phone: (408) 918-0405

The provider's authorized official is Arash M Padidar .
The authorized official title is Ceo and has the following contact phone number (408) 918-0405.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyG74857CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200710410237OTHERCALIFORNIALLC/LP

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: 11/14/2023

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.