CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG – NPI #1891092797
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG is a thoracic surgeon located in ENCINO, CA. NPPES has assigned the NPI number 1891092797 to CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG on February 12, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 10 years ago on Apr 29, 2016. 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 CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG below.

NPI Profile for
CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG

NPI Number
1891092797
Enumeration Date

(more than 15 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
CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG
Primary location
16030 VENTURA BLVD STE 605
ENCINO, CA 91436-4471
Phone: (818) 422-5322 Fax: (818) 578-8476
Mailing address
18375 VENTURA BLVD # 404
TARZANA, CA 91356-4218
Phone: (818) 422-5322 Fax: (818) 578-8476
Organization Subpart
No
Authorized Official
SAM EBRAHIMI
OWNER
Phone: (818) 422-5322
Updated
Identifiers

Identifiers for CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDC035556900
MEDICAIDMD404465702
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)
CA A060777

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.