PREMIER VASCULAR AND VEIN SURGERY CENTER
NPI 1275350167
Clinic/Center - Ambulatory Surgical in Turlock, CA

Active since September 23, 2024CLIA 05D2319377 · Waiver
1512 COLORADO AVE, TURLOCK, CA 95380(209) 668-8030 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Vascular And Vein Surgery Center NPPES

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

PREMIER VASCULAR AND VEIN SURGERY CENTER (NPI 1275350167) is a healthcare organization registered as an ambulatory surgical in Turlock, California and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Jamie Dole, Manger, as its authorized official.

NPPES Registry Identity

NPI1275350167
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER VASCULAR AND VEIN SURGERY CENTER
Location Address1512 COLORADO AVETurlock, CA 95380-2711
Mailing AddressPo Box 4978Modesto, CA 95352-4978 · (209) 575-4575
Organization SubpartNo
Authorized OfficialJamie DoleManger · (209) 575-4575
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
NPI 1275350167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/CenterTaxonomy 261Q00000X
1512 COLORADO AVE, Turlock, CA 95380

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 05D2319377

Premier Vascular And Vein Surgery · Turlock, CA
Active · expires Feb 26, 2027
CLIA Number05D2319377
Laboratory TypeOffice Based Labs
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorReza Nazari
Laboratory Phone(209) 668-8030
Laboratory LocationPremier Vascular And Vein Surgery1512 Colorado Ave, Turlock, CA 95380
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premier Vascular And Vein Surgery Center's NPI number?

The NPI number for Premier Vascular And Vein Surgery Center is 1275350167. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Premier Vascular And Vein Surgery Center located?

Premier Vascular And Vein Surgery Center is located at 1512 Colorado Ave, Turlock, CA 95380. The listed phone number is (209) 668-8030.

What is Premier Vascular And Vein Surgery Center's specialty?

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

Does Premier Vascular And Vein Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2319377) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Vascular And Vein Surgery Center was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.