VIP VEIN CENTER (NPI# 1336441310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336441310 |
| Entity Type | Organization |
| Organization Name | VIP VEIN CENTER |
| Practice Address |
2410 Samaritan Dr Suite 102 San Jose CA 95124-3909 |
| Practice Telephone | 4083718346 |
| Practice Fax Number | 4087967787 |
| Mailing Telephone | 4083718346 |
| Mailing Fax Number | 4087967787 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | MRS. SUSAN M. ALLARDYCE (CFO) |
| Authorized Official Telephone | 4083710390 |
| Is Organization Subpart | Y |
| Parent Organization Name | OMNIRAD MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A78415 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2410 SAMARITAN DR SUITE 102 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612812 | Endoscopy Center of Silicon Valley Inc. | Clinic/Center | 2410 Samaritan Dr, 101, San Jose, CA 95124 | 2006-01-04 |
| 1952724593 | Premier Imaging Medical Associates Inc. | Specialist | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2014-02-03 |
| 1033448782 | Endoscopy Surgery Center of Silicon Valley LLC | Clinic/Center | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2009-12-09 |
| 1326059551 | Matthew Thien Tran | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
| 1609887371 | Yueh-ju Yale Chung | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-10 |
| 1588675243 | Anup Kumar Singh | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-10 |
| 1053321471 | Rajeev Lal Tandon | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-08 |
| 1760492177 | Kenneth Cham Ong | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-08 |
| 1649289513 | Stuart Irwin Mass | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-07 |
| 1558370072 | Keith Bradley Ford | Radiology | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730500 | Vip Vascular Interventional Centers PC | Radiology | 2410 Samaritan Dr Ste 101, San Jose, CA 95124-3909 | 2018-12-03 |
| 1427497775 | Ir Solutions Inc Medical Corp | Radiology | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2013-06-20 |
| 1861629453 | Lindsey Jane Bergren Pierce | Radiology | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2009-06-22 |
| 1194913897 | Interventional Vascular Institute of San Jose, LLC | Radiology | 105 N Bascom Ave, San Jose, CA 95128-1811 | 2007-10-09 |
| 1326246059 | Marcos Alvarez II | Radiology | 2375 Forest Ave, San Jose, CA 95128-4610 | 2007-07-03 |
| 1821167628 | Minimally Invasive Surgical Solutions Medical Corporation | Radiology | 105 N. Bascom Ave, 104, San Jose, CA 95128-1633 | 2006-11-07 |
| 1295811727 | Mark K. Sarkisian | Radiology | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1730265240 | David Madwed | Radiology | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1669486700 | Paul R Cipriano | Radiology | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
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| 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.