Provider Type Icon

PACIFIC VASCUCARE INC. NPI 1578882965


NPI Information

NPI: 1578882965
Provider Name: PACIFIC VASCUCARE, INC.
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 05D2023755

Address:
1660 W 3RD ST
LOS ANGELES, CA
ZIP 90017
Phone: (626) 616-5114
Get Directions

PACIFIC VASCUCARE, INC. is a vascular and interventional radiology radiology in Los Angeles, 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. PACIFIC VASCUCARE, INC. NPI is 1578882965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1660 W 3RD ST
LOS ANGELES, CA
ZIP 90017-138
Phone: (626) 616-5114

The provider's authorized official is Bruce A. Greenfield .
The authorized official title is President and has the following contact phone number (213) 201-0850.

The CLIA number assigned to this NPI record is 05D2023755 - other - vascular access center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2010 and was last updated on 6/6/2011.


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 RadiologyCALIFORNIAYes

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

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.