PERIPHERAL VASCULAR ASSOCIATES INC. NPI 1609133511

NPI Information

NPI: 1609133511
Provider Name: PERIPHERAL VASCULAR ASSOCIATES, INC.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4501 BIRCH ST
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 922-2352
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PERIPHERAL VASCULAR ASSOCIATES, INC. is a vascular surgery surgery in Newport Beach, 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. PERIPHERAL VASCULAR ASSOCIATES, INC. NPI is 1609133511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4501 BIRCH ST
NEWPORT BEACH, CA
ZIP 92660-990
Phone: (949) 922-2352
Fax: (949) 223-4702

The provider's authorized official is Todd S Harris .
The authorized official title is President and has the following contact phone number (949) 221-0136.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 4/16/2012.

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
1	2086S0129X	Surgery	Vascular Surgery	A105121	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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