SHADELANDS ENDOVASCULAR, LLC
NPI 1245620954
Clinic/Center - Ambulatory Surgical in Walnut Creek, CA

Q: What is Shadelands Endovascular, LLC's NPI number?

The NPI number for Shadelands Endovascular, LLC is 1245620954. It was assigned to this organization in the NPPES registry on February 2, 2015.

Q: What is Shadelands Endovascular, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since February 02, 2015

460 N WIGET LN STE B, WALNUT CREEK, CA 94598(925) 627-3495(925) 891-4322 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shadelands Endovascular, Llc NPPES

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

SHADELANDS ENDOVASCULAR, LLC (NPI 1245620954) is a healthcare organization registered as an ambulatory surgical in Walnut Creek, California and active in the NPI registry since February 2015. The organization lists Inez Wondeh, Coo, as its authorized official.

NPPES Registry Identity

NPI1245620954

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSHADELANDS ENDOVASCULAR, LLC

Location Address460 N WIGET LN STE BWalnut Creek, CA 94598-2408

Mailing Address460 N Wiget Ln Ste BWalnut Creek, CA 94598-2408 · (925) 627-3495 · Fax (925) 891-4322

Phone(925) 627-3495

Fax(925) 891-4322

Organization SubpartNo

Authorized OfficialInez WondehCoo · (925) 378-4500

Enumeration DateFebruary 2, 2015

Last NPPES UpdateApril 4, 2018

✔ NPI 1245620954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

460 N WIGET LN STE B, Walnut Creek, CA 94598

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2116202

Shadelands Endovascular, LLC · Walnut Creek, CA

Expired · Jul 20, 2026

CLIA Number05D2116202

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 21, 2024

Certificate Expiration DateJuly 20, 2026

Laboratory DirectorFernando Otero, MD

Laboratory Phone(925) 627-3494

Laboratory LocationShadelands Endovascular, LLC460 N Wiget Ln Ste B, Walnut Creek, CA 94598

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of plaque in artery of leg, initial vessel 37229

This procedure involves removing plaque from the initial vessel in your leg. Plaque, a build-up of fat, cholesterol, and other substances, can block blood flow. The removal process, known as an angioplasty, restores healthy blood circulation in your leg.

203 services144 patients

Removal of plaque in arteries of leg 37225

This procedure, known as atherectomy, involves clearing out plaque buildup in the leg arteries. Plaque can restrict blood flow, causing discomfort and potential health issues. A special device is inserted into the artery to carefully remove the plaque, improving blood circulation.

196 services152 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

194 services153 patients

Removal of plaque and insertion of stents in arteries of leg 37227

This procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.

158 services124 patients

Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation 0238T

This procedure involves the insertion of a thin tube, or catheter, into the artery in your groin. The catheter is used to remove plaque, a substance that can block blood flow. It's performed under radiological supervision for precision. This can be done through a small skin puncture or a more open approach.

43 services31 patients

Insertion of stent in groin artery, initial vessel 37221

A stent is a small, mesh tube that's used to treat narrow or weak arteries. In this procedure, a stent is placed in your groin artery to help keep it open and improve blood flow. It's inserted through a small incision and guided to the problem area.

35 services27 patients

Other Providers at the Same Location NPPES 2

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

DR. GHULAM S. JOYO MD

Anesthesiology

460 N WIGET LN STE B
WALNUT CREEK, CA 94598

Contra Costa County (925) 378-4930

SURGICAL ANESTHESIA SPECIALISTS INC

Anesthesiology

460 N WIGET LN STE B
WALNUT CREEK, CA 94598

Contra Costa County (925) 378-4930

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 Shadelands Endovascular, LLC's NPI number?

The NPI number for Shadelands Endovascular, LLC is 1245620954. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Shadelands Endovascular, LLC located?

Shadelands Endovascular, LLC is located at 460 N Wiget Ln Ste B, Walnut Creek, CA 94598. The listed phone number is (925) 627-3495.

What is Shadelands Endovascular, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Shadelands Endovascular, LLC was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.