Blue Line Medical Corp
NPI 1750015616ActiveOrganization· Surgery, Vascular Surgery· Clovis, CA
Surgery, Vascular Surgery in Clovis, California, registered in NPPES in July 2022. The authorized official on file is Leo L. Fong, MD, Owner/President.
Overview
| NPI | 1750015616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2022 |
| Last updated in NPPES | Jul 14, 2022 |
| Certified by provider | Jul 14, 2022 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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