Southern California Vein and Aesthetics LLC
NPI 1720935505ActiveOrganization· Surgery, Vascular Surgery· Riverside, CA
Surgery, Vascular Surgery in Riverside, California, registered in NPPES in March 2026. The authorized official on file is Omar Z. Tahir, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720935505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2026 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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