AHI VEIN AND VASCULAR SPECIALISTS INC A PROFESSIONAL MEDICAL CORP (NPI# 1629512595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629512595 |
| Entity Type | Organization |
| Organization Name | AHI VEIN AND VASCULAR SPECIALISTS INC A PROFESSIONAL MEDICAL CORP |
| Other Organization Name | OCEANA VEIN SPECIALISTS |
| Practice Address |
2125 South El Camino Real Suite 210 Oceanside CA 92054 |
| Mailing Address |
6247 La Jolla Blvd La Jolla CA 92037 |
| Practice Telephone | 7733075315 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | ADAM ISADORE (PRESIDENT) |
| Authorized Official Telephone | 7733075315 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
C3894822 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oceana Vein Specialists | Doing Business As Name - Organization |
| Street Address |
2125 SOUTH EL CAMINO REAL SUITE 210 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| 1275910556 | Vincent Hurtado | Military Health Care Provider | 1st Lar Bas, Box 5555642, Camp Pendleton, CA 92054 | 2015-05-06 |
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| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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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.