SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION
NPI 1518014463
Specialist in Tarzana, CA
About San Fernando Valley Vascular Group A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION (NPI 1518014463) is a healthcare organization registered as a specialist in Tarzana, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Lydia Nassoura, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Fernando Valley Vascular Group A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to San Fernando Valley Vascular Group A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2244714
San Fernando Valley Vascular Group · Tarzana, CAFrequently 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 San Fernando Valley Vascular Group A Medical Corporation's NPI number?
The NPI number for San Fernando Valley Vascular Group A Medical Corporation is 1518014463. It was assigned to this organization in the NPPES registry on January 4, 2007.
Where is San Fernando Valley Vascular Group A Medical Corporation located?
San Fernando Valley Vascular Group A Medical Corporation is located at 18840 Ventura Blvd Ste 100A, Tarzana, CA 91356. The listed phone number is (818) 345-6126.
What is San Fernando Valley Vascular Group A Medical Corporation's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is San Fernando Valley Vascular Group A Medical Corporation enrolled in Medicare?
Yes. San Fernando Valley Vascular Group A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Fernando Valley Vascular Group A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to San Fernando Valley Vascular Group A Medical Corporation. 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. The largest specialties are Vascular Surgery (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Fernando Valley Vascular Group A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2244714) is associated with this NPI, valid through December 3, 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 San Fernando Valley Vascular Group A Medical Corporation was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# San Fernando Valley Vascular Group A Medical Corporation · NPI 1518014463
Specialist organization in Tarzana, California. Organization record, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1518014463 (Entity type: Organization)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Lydia Nassoura, DIRECTOR
## Practice location
- **Address:** 18840 VENTURA BLVD STE 100A, Tarzana, CA 91356-3301
- **Phone:** (818) 345-6126 · **Fax:** (818) 345-5061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Vascular Surgery (3), Nurse Practitioner (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518014463) · Data from the CMS NPPES public registry.