EAST BAY VASCULAR MEDICAL GROUP – NPI #1619072923
Surgery

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

EAST BAY VASCULAR MEDICAL GROUP is a surgeon located in WALNUT CREEK, CA. NPPES has assigned the NPI number 1619072923 to EAST BAY VASCULAR MEDICAL GROUP on September 13, 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 18 years ago on Jan 30, 2008. 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 EAST BAY VASCULAR MEDICAL GROUP below.

NPI Profile for
EAST BAY VASCULAR MEDICAL GROUP

NPI Number
1619072923
Enumeration Date

(more than 19 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
EAST BAY VASCULAR MEDICAL GROUP
Primary location
130 LA CASA VIA
STE 201 BLDG 1
WALNUT CREEK, CA 94598
Phone: (925) 932-5313 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NANCI WEBB
PRACTICE MANAGER
Phone: (510) 832-6131
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)

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.