VANGUARD SPECIALTY IMAGING NPI 1477905388

NPI Information

  • NPI: 1477905388
  • Provider Name: VANGUARD SPECIALTY IMAGING
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1345 LILLIAN AVE
    SUNNYVALE, CA
    ZIP 94087
  • Phone: (415) 722-6642

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NPI Details

VANGUARD SPECIALTY IMAGING is a specialist in Sunnyvale, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VANGUARD SPECIALTY IMAGING NPI is 1477905388. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1345 LILLIAN AVE
SUNNYVALE, CA
ZIP 94087-523
Phone: (415) 722-6642

The provider's authorized official is Scott Werden .
The authorized official title is President and has the following contact phone number (415) 722-6642.

The enumeration date for this NPI number is 7/5/2016 and was last updated on 7/5/2016.

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
12085R0202XRadiologyDiagnostic RadiologyG84749CALIFORNIANo
22085R0204XRadiologyVascular & Interventional RadiologyG84749CALIFORNIANo
3208VP0014XPain MedicineInterventional Pain MedicineG84749CALIFORNIANo
4174400000XSpecialistG84749CALIFORNIAYes

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
100G847493MEDICARE PINCALIFORNIA

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: 11/21/2025

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