PERIPHERAL VASCULAR ASSOCIATES, INC. – NPI #1609133511
Surgery

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

Health Care Provider Taxonomy Code for Surgery

PERIPHERAL VASCULAR ASSOCIATES, INC. is a surgeon located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1609133511 to PERIPHERAL VASCULAR ASSOCIATES, INC. on April 16, 2012. 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

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 PERIPHERAL VASCULAR ASSOCIATES, INC. below.

NPI Profile for
PERIPHERAL VASCULAR ASSOCIATES, INC.

NPI Number
1609133511
Enumeration Date

(more than 14 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
PERIPHERAL VASCULAR ASSOCIATES, INC.
Primary location
4501 BIRCH ST
NEWPORT BEACH, CA 92660-1990
Phone: (949) 922-2352 Fax: (949) 223-4702
Mailing address
PO BOX 12139
NEWPORT BEACH, CA 92658-5053
Phone: (949) 922-2352 Fax: (949) 223-4702
Organization Subpart
No
Authorized Official
TODD HARRIS
PRESIDENT
Phone: (949) 221-0136
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 A105121

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.