IMPERIAL VASCULAR WOUND CARE SPECIALISTS – NPI #1083568638
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

IMPERIAL VASCULAR WOUND CARE SPECIALISTS is a surgeon located in EL CENTRO, CA. NPPES has assigned the NPI number 1083568638 to IMPERIAL VASCULAR WOUND CARE SPECIALISTS on February 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMPERIAL VASCULAR WOUND CARE SPECIALISTS below.

NPI Profile for
IMPERIAL VASCULAR WOUND CARE SPECIALISTS

NPI Number
1083568638
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IMPERIAL VASCULAR WOUND CARE SPECIALISTS
Primary location
441 W STATE ST
EL CENTRO, CA 92243-3021
Phone: (760) 683-2199 Fax:
1 Other location(s):
3633 Camino Del Rio S Ste 300
San Diego, CA 92108-4014
Phone: (760) 683-2199
Mailing address
18092 WIKA RD STE 220
APPLE VALLEY, CA 92307-2132
Phone: (760) 515-6260 Fax:
Organization Subpart
No
Authorized Official
OMAR TAHIR
PRESIDENT
Phone: (760) 515-6260
Updated
Certification Date
Feb 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)
213E00000X
- Podiatrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.