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BANIPAL MEDICAL CORP
NPI 1417576307
Surgery - Vascular Surgery in San Bernardino, CA

Active since April 10, 2020
355 E 21ST ST STE C, SAN BERNARDINO, CA 92404(818) 926-5272(573) 250-7382 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banipal Medical Corp NPPES

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

BANIPAL MEDICAL CORP (NPI 1417576307), doing business as Advanced Vascular And Vein Center, is a healthcare organization registered as a vascular surgery in San Bernardino, California and active in the NPI registry since April 2020. The organization lists Simpledeep Banipal, Vascular Surgeon, as its authorized official.

NPPES Registry Identity

NPI1417576307
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameBANIPAL MEDICAL CORP
Location Address355 E 21ST ST STE CSan Bernardino, CA 92404-4851
Mailing Address19400 Turtle Ridge LnPorter Ranch, CA 91326-3803 · (818) 926-5272
Phone(818) 926-5272
Fax(573) 250-7382
Organization SubpartNo
Authorized OfficialSimpledeep BanipalVascular Surgeon · (818) 926-5272
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1417576307 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.
355 E 21ST ST STE C, San Bernardino, CA 92404
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Other Names 1

Doing Business AsAdvanced Vascular And Vein Center

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

Other Providers at the Same Location NPPES

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

JOHN P KEARNEY M.D.
Surgery
355 E 21ST ST STE C
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-6811

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 Banipal Medical Corp's NPI number?

The NPI number for Banipal Medical Corp is 1417576307. It was assigned to this organization in the NPPES registry on April 10, 2020. The provider is doing business as Advanced Vascular and Vein Center.

Where is Banipal Medical Corp located?

Banipal Medical Corp is located at 355 E 21st St Ste C, San Bernardino, CA 92404. The listed phone number is (818) 926-5272.

What is Banipal Medical Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Banipal Medical Corp was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.