MODERN VASCULAR OF SUN CITY, LLC
NPI 1083179378
Radiology - Vascular & Interventional Radiology in Surprise, AZ

Active since January 31, 2019
14780 W MOUNTAIN VIEW BLVD STE 120, SURPRISE, AZ 85374(602) 892-0917(602) 842-7106 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Modern Vascular Of Sun City, Llc NPPES

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

MODERN VASCULAR OF SUN CITY, LLC (NPI 1083179378) is a healthcare organization registered as a vascular & interventional radiology in Surprise, Arizona and active in the NPI registry since January 2019. The organization lists Yury Gampel, Manager, as its authorized official.

NPPES Registry Identity

NPI1083179378
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMODERN VASCULAR OF SUN CITY, LLC
Location Address14780 W MOUNTAIN VIEW BLVD STE 120Surprise, AZ 85374-7280
Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605 · Fax (818) 579-7916
Fax(602) 842-7106
Organization SubpartNo
Authorized OfficialYury GampelManager · (818) 880-8605
Enumeration DateJanuary 31, 2019
NPI 1083179378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

14780 W MOUNTAIN VIEW BLVD STE 120, Surprise, AZ 85374

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
14780 W MOUNTAIN VIEW BLVD STE 120
SURPRISE, AZ 85374
Internal Medicine (Medical Oncology)
14780 W MOUNTAIN VIEW BLVD STE 120
SURPRISE, AZ 85374
Nurse Practitioner (Family)
14780 W MOUNTAIN VIEW BLVD STE 120
SURPRISE, AZ 85374
Internal Medicine (Endocrinology, Diabetes & Metabolism)
14780 W MOUNTAIN VIEW BLVD STE 120
SURPRISE, AZ 85374

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 Modern Vascular Of Sun City, LLC's NPI number?

The NPI number for Modern Vascular Of Sun City, LLC is 1083179378. It was assigned to this organization in the NPPES registry on January 31, 2019.

Where is Modern Vascular Of Sun City, LLC located?

Modern Vascular Of Sun City, LLC is located at 14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374. The listed phone number is (602) 892-0917.

What is Modern Vascular Of Sun City, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Modern Vascular Of Sun City, LLC was last updated on January 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.