SOUTH BAY VASCULAR SURGERY INC
NPI 1003679168
Surgery - Vascular Surgery in Torrance, CA

Active since February 01, 2024
23560 MADISON ST STE 110, TORRANCE, CA 90505(310) 373-6864(424) 999-2194 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Bay Vascular Surgery Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BAY VASCULAR SURGERY INC (NPI 1003679168) is a healthcare organization registered as a vascular surgery in Torrance, California and active in the NPI registry since February 2024. The organization lists Amir Kaviani, President, as its authorized official.

NPPES Registry Identity

NPI1003679168
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTH BAY VASCULAR SURGERY INC
Location Address23560 MADISON ST STE 110Torrance, CA 90505-4709
Mailing Address23560 Madison St Ste 110Torrance, CA 90505-4709 · (310) 373-6864 · Fax (310) 602-3894
Fax(424) 999-2194
Organization SubpartNo
Authorized OfficialAmir KavianiPresident · (310) 373-6864
Enumeration DateFebruary 1, 2024
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1003679168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
23560 MADISON ST STE 110, Torrance, CA 90505

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Bay Vascular Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Bay Vascular Surgery Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Vascular Surgery
NPI 1467465930
23451 MADISON ST SUITE 340
Torrance, CA 90505
(310) 373-6864
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1558318022
23451 MADISON ST SUITE 340
Torrance, CA 90505
(310) 373-6864
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1144276262
23451 MADISON ST SUITE #340
Torrance, CA 90505
(310) 373-6864
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1285891283
23451 MADISON ST SUITE 340
Torrance, CA 90505
(310) 373-6864
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Bay Vascular Surgery Inc's NPI number?

The NPI number for South Bay Vascular Surgery Inc is 1003679168. It was assigned to this organization in the NPPES registry on February 1, 2024.

Where is South Bay Vascular Surgery Inc located?

South Bay Vascular Surgery Inc is located at 23560 Madison St Ste 110, Torrance, CA 90505. The listed phone number is (310) 373-6864.

What is South Bay Vascular Surgery Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is South Bay Vascular Surgery Inc enrolled in Medicare?

Yes. South Bay Vascular Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Bay Vascular Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Vascular Surgery, reassign their Medicare billing to South Bay Vascular Surgery Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Bay Vascular Surgery Inc was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.