San Fernando Valley Vascular Group A Medical Corporation
NPI 1518014463ActiveOrganization· Specialist· Tarzana, CA
Specialist in Tarzana, California, registered in NPPES in January 2007. The authorized official on file is Lydia Nassoura, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518014463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Jun 18, 2024 |
| Certified by provider | Jun 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | A062315 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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