CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC (NPI# 1053346189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053346189 |
| Entity Type | Organization |
| Organization Name | CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC |
| Practice Address |
3855 J St Sacramento CA 95816-5520 |
| Practice Telephone | 9167330660 |
| Practice Fax Number | 9167330665 |
| Mailing Telephone | 9167330660 |
| Mailing Fax Number | 9167330665 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | DR. RICHARD EDWARD WARD (PRESIDENT) |
| Authorized Official Telephone | 9167330660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0049280 | 05 |
| Street Address |
3855 J ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053382390 | Albert Zalman Owens | Specialist | 3855 J St, Sacramento, CA 95816-5520 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389939 | Andrew Wishy | Surgery | 5749 Bridgecross Dr, Sacramento, CA 95835-1902 | 2014-05-21 |
| 1730478082 | Steven Maximus | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2309 | 2011-04-06 |
| 1841218690 | Richard Edward Ward | Surgery | 3941 J St 362, Sacramento, CA 95819-3633 | 2006-07-18 |
| 1295753036 | Charles Thomas Brownridge | Surgery | 2800 L St Ste 260, Sacramento, CA 95816-5616 | 2006-07-18 |
| 1508841537 | Daniel Peter Link Jr. | Surgery | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2005-12-13 |
| 1417512195 | Kathryn Lambeth Dilosa | Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2019-05-07 |
| 1730587379 | Eric Kuo | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-12-14 |
| 1174949085 | Josefina Anita Dominguez | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-03-16 |
| 1417392663 | Mimmie Kwong | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2307 | 2013-05-01 |
| 1982946687 | Ronald G. Jan, M.d., Inc | Surgery | 5025 J St, Suite 312, Sacramento, CA 95819 | 2013-03-20 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on CAPITAL VASCULAR SURGEONS MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.