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ELLISON MEDICAL GROUP VEIN TREATMENT CENTER
NPI 1033614706
Specialist in San Diego, CA

Active since March 26, 2018
5330 CARROLL CANYON RD STE 140, SAN DIEGO, CA 92121(669) 201-0667(818) 616-6046 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Apr 13, 2026, Jun 2, 2023 and 5 more (8 updates tracked since 2018).

About Ellison Medical Group Vein Treatment Center NPPES

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

ELLISON MEDICAL GROUP VEIN TREATMENT CENTER (NPI 1033614706) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Clifton and lists Michael Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1033614706
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELLISON MEDICAL GROUP VEIN TREATMENT CENTER
Location Address5330 CARROLL CANYON RD STE 140San Diego, CA 92121-3758
Mailing Address244 Madison Ave Ste 141New York, NY 10016-2817 · (669) 201-0667 · Fax (818) 616-6046
Phone(669) 201-0667
Fax(818) 616-6046
Organization SubpartNo
Authorized OfficialMichael NguyenOwner · (332) 282-5622
Enumeration DateMarch 26, 2018
Last NPPES UpdateJune 24, 20268 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1033614706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5330 CARROLL CANYON RD STE 140, San Diego, CA 92121
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Secondary Practice Location 1

Location 11117 Route 46 Ste 205Clifton, NJ 07013-2450 · Phone (669) 201-0667 · Fax (818) 616-6046

Other Identifiers 1

OtherA108285CA · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ellison Medical Group Vein Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Ellison Medical Group Vein Treatment Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Emergency Medicine2
Internal Medicine2
Interventional Radiology2
Nurse Practitioner2
Pain Management2
Thoracic Surgery2
Diagnostic Radiology1
Pediatric Medicine1

Clinicians, nearest first (14)

William Schoenfeld, M.D.
Pain Management
NPI 1639349210
3626 RUFFIN RD
San Diego, CA 92123
(858) 565-9666
✔ PECOS7.1 mi
Joshua Kindelan, M.D.
Thoracic Surgery
NPI 1538222104
34800 BOB WILSON DR
San Diego, CA 92134
(619) 532-9140
✔ PECOS✔ Accepts Medicare12 mi
Kimberly Mcfarland, M.D.
Interventional Radiology
NPI 1609135946
27290 MADISON AVE STE 102
Temecula, CA 92590
(951) 296-2911
✔ PECOS✔ Accepts Medicare44 mi
Jessica Montoya, NP
Nurse Practitioner
NPI 1730722034
27290 MADISON AVE STE 102
Temecula, CA 92590
(951) 296-2911
✔ PECOS44 mi
Mohsen Basiri, MD
Internal Medicine
NPI 1548953680
2780 SKYPARK DR STE 310
Torrance, CA 90505
(858) 295-0501
✔ PECOS91 mi
Niveditha Vilasagar, M.D.
Pediatric Medicine
NPI 1831355320
622 W DUARTE RD STE 302
Arcadia, CA 91007
(858) 295-0501
✔ PECOS✔ Accepts Medicare98 mi
Akash Mehta, DO
Emergency Medicine
NPI 1710242128
16260 VENTURA BLVD STE 140
Encino, CA 91436
(858) 295-0501
✔ PECOS✔ Accepts Medicare115 mi
Dominique Lekander, FNP
Nurse Practitioner
NPI 1962264200
1270 S WINCHESTER BLVD STE 102
San Jose, CA 95128
(669) 201-0667
✔ PECOS✔ Accepts Medicare406 mi
Walter Lech, M.D.
Thoracic Surgery
NPI 1215073853
1270 S WINCHESTER BLVD STE 102
San Jose, CA 95128
(669) 201-0667
✔ PECOS✔ Accepts Medicare406 mi
Anee Khan, M.D.
Emergency Medicine
NPI 1952796062
2277 FAIR OAKS BLVD STE 325
Sacramento, CA 95825
(669) 201-0667
✔ PECOS✔ Accepts Medicare458 mi
Sanford Davis, MD
Diagnostic Radiology
NPI 1558472233
1805 BAYSHORE GARDENS PKWY
Bradenton, FL 34207
(917) 920-3006
✔ PECOS✔ Accepts Medicare2,096 mi
Michael Nguyen, M.D.
Pain Management
NPI 1730380478
2020 PONCE DE LEON BLVD SUITE 103
Coral Gables, FL 33134
(786) 618-5039
✔ PECOS✔ Accepts Medicare2,271 mi
Andrew Cortes, M.D.
Interventional Radiology
NPI 1588922678
2100 WESTCOTT DRIVE
Flemington, NJ 08822
(631) 902-9033
✔ PECOS✔ Accepts Medicare2,385 mi
Farshid Etaee, MD
Internal Medicine
NPI 1437645108
20 YORK ST
New Haven, CT 06510
(203) 688-4242
✔ PECOS✔ Accepts Medicare2,484 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 Ellison Medical Group Vein Treatment Center's NPI number?

The NPI number for Ellison Medical Group Vein Treatment Center is 1033614706. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Ellison Medical Group Vein Treatment Center located?

Ellison Medical Group Vein Treatment Center is located at 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121. The listed phone number is (669) 201-0667.

What is Ellison Medical Group Vein Treatment Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ellison Medical Group Vein Treatment Center enrolled in Medicare?

Yes. Ellison Medical Group Vein Treatment Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellison Medical Group Vein Treatment Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians reassign their Medicare billing to Ellison Medical Group Vein Treatment Center, in Diagnostic Radiology, Emergency Medicine, Internal Medicine, Interventional Radiology, Nurse Practitioner and 3 other specialties. 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, 1 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 Ellison Medical Group Vein Treatment Center was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.