COASTAL VASCULAR SPECIALISTS – NPI #1417962895
Surgery

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

COASTAL VASCULAR SPECIALISTS is a surgeon located in MISSION VIEJO, CA. NPPES has assigned the NPI number 1417962895 to COASTAL VASCULAR SPECIALISTS on July 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 COASTAL VASCULAR SPECIALISTS below.

NPI Profile for
COASTAL VASCULAR SPECIALISTS

NPI Number
1417962895
Enumeration Date

(about 20 years 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
COASTAL VASCULAR SPECIALISTS
Primary location
26726 CROWN VALLEY PKWY
STE 220
MISSION VIEJO, CA 92691-8002
Phone: (949) 218-7400 Fax: (949) 218-9700
Mailing address
26012 MARGUERITE PKWY
H400
MISSION VIEJO, CA 92692-3263
Phone: (949) 218-7400 Fax: (949) 218-9700
Organization Subpart
No
Authorized Official
MARCELLO BORZATTA
OWNER / PHYSICIAN
Phone: (949) 218-7400
Updated
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)
CA A40479

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.