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NPI · 1366912446 · NPPES-sourced

Vascular Cosmetics La

ActiveThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Number
1366912446
Type 2 · Organisation
Contact
(949) 636-7775
Primary practice line
Last Updated
About 11 months ago (Jul 2025)
Enumerated 2018-11-30
Primary practice addressCA · 92618-3168
112 Waterworks Way, Suite 140Irvine, CA 92618-3168
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About this NPIWhat this record shows.

NPI 1366912446 is registered to Vascular Cosmetics La, a healthcare organisation classified as "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician" and located at 112 Waterworks Way, Suite 140 in Irvine, California. The organisation's authorised official is Reza Khodaverdian. The organisation has been enumerated in the NPI registry since 2018.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2018-11-30
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • A127413CA· Issued by MED LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Vascular Cosmetics La accepts. To confirm in-network status with your specific health plan, contact Vascular Cosmetics La directly at (949) 636-7775.

Frequently asked

Yes. NPI 1366912446 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (949) 636-7775.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Vascular Cosmetics La is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208G00000X
Last updated2025-07
Enumerated2018-11-30
StatusActive
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