MONTEREY BAY VASCULAR, INC. – NPI #1689326225
Surgery

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

MONTEREY BAY VASCULAR, INC. is a surgeon located in APTOS, CA. NPPES has assigned the NPI number 1689326225 to MONTEREY BAY VASCULAR, INC. on January 25, 2022. 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 MONTEREY BAY VASCULAR, INC. below.

NPI Profile for
MONTEREY BAY VASCULAR, INC.

NPI Number
1689326225
Enumeration Date

(more than 4 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
MONTEREY BAY VASCULAR, INC.
Primary location
3275 APTOS RANCHO RD STE 1A
APTOS, CA 95003-3971
Phone: (631) 662-2130 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MAZEN HASHISHO
PRESIDENT
Phone: (631) 662-2130
Updated
Certification Date
Jan 25, 2022

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)

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.