CENTRAL COAST VASCULAR INC. NPI 1891855193

NPI Information

  • NPI: 1891855193
  • Provider Name: CENTRAL COAST VASCULAR, INC.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • CLIA Number: 05D2155097
  • Address: 100 N BRENT ST
    SUITE 201
    VENTURA, CA
    ZIP 93003
  • Phone: (805) 643-3300

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NPI Details

CENTRAL COAST VASCULAR, INC. is a vascular surgery surgery in Ventura, 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. CENTRAL COAST VASCULAR, INC. NPI is 1891855193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 N BRENT ST
SUITE 201
VENTURA, CA
ZIP 93003-822
Phone: (805) 643-3300
Fax: (805) 643-3331

The provider's authorized official is Christopher Shawn Skillern .
The authorized official title is President and has the following contact phone number (805) 643-3330.

The CLIA number assigned to this NPI record is 05D2155097 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2006 and was last updated on 8/22/2020.

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 SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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