SK VEIN CLINIC (NPI# 1831549419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831549419 |
| Entity Type | Organization |
| Organization Name | SK VEIN CLINIC |
| Practice Address |
5601 Norris Canyon Rd Suite 240 San Ramon CA 94583-5407 |
| Practice Telephone | 9255873660 |
| Mailing Telephone | 9255873660 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | DR. SOOHYUN KIM (CEO) |
| Authorized Official Telephone | 9258789440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
104531 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5601 NORRIS CANYON RD SUITE 240 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445298 | Richard D Ash | Pediatrics | 5601 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5407 | 2005-05-24 |
| 1861935322 | University Healthcare Alliance | Internal Medicine | 5601 Norris Canyon Rd, Suite 300, San Ramon, CA 94583-5407 | 2016-11-30 |
| 1487102794 | Sandy Ly | Nurse Practitioner | 5601 Norris Canyon Rd, Suite 340, San Ramon, CA 94583-5407 | 2016-09-15 |
| 1679942908 | John Muir Physician Network | Internal Medicine | 5601 Norris Canyon Rd, Suite 200, San Ramon, CA 94583-5407 | 2015-09-16 |
| 1124439260 | Sadaf Samizay | Obstetrics & Gynecology | 5601 Norris Canyon Rd, San Ramon, CA 94583-5407 | 2014-05-12 |
| 1891083473 | Diablo Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 5601 Norris Canyon Rd, Suite 320, San Ramon, CA 94583-5407 | 2011-07-15 |
| 1790004638 | Jayaram S. Hariharan | Family Medicine | 5601 Norris Canyon Rd, #200, San Ramon, CA 94583-5407 | 2010-05-18 |
| 1598082778 | California Infection Control Consultants, Inc. | Internal Medicine | 5601 Norris Canyon Rd, Suite 220, San Ramon, CA 94583-5407 | 2010-04-27 |
| 1235463290 | Roy Medical Assoc Inc | Internal Medicine | 5601 Norris Canyon Rd, 340, San Ramon, CA 94583-5407 | 2009-09-23 |
| 1235368523 | Tsuling Chang M.d. A Professional Corporation | Dermatology | 5601 Norris Canyon Rd, San Ramon, CA 94583-5407 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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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.