TOTAL VASCULAR SURGERY INC NPI 1851474217

NPI Information

  • NPI: 1851474217
  • Provider Name: TOTAL VASCULAR SURGERY INC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 5 MEDICAL PLAZA DRIVE
    SUITE 200
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 784-1836

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NPI Details

TOTAL VASCULAR SURGERY INC is a vascular surgery surgery in Roseville, 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. TOTAL VASCULAR SURGERY INC NPI is 1851474217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 MEDICAL PLAZA DRIVE
SUITE 200
ROSEVILLE, CA
ZIP 95661-867
Phone: (916) 784-1836
Fax: (916) 784-1880

The provider's authorized official is Jung J Lim .
The authorized official title is Owner And Surgeon and has the following contact phone number (916) 784-1836.

The enumeration date for this NPI number is 10/21/2006 and was last updated on 9/17/2008.

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 Surgery20A8767CALIFORNIAYes

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
1107690MEDICARE UPINCALIFORNIA
200AX87670MEDICAIDCALIFORNIA
3ZZZ04954ZMEDICARE 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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