SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION
NPI 1518014463
Specialist in Tarzana, CA

Q: 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.

Active since January 04, 2007CLIA 05D2244714 · Waiver

18840 VENTURA BLVD STE 100A, TARZANA, CA 91356(818) 345-6126(818) 345-5061 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 18, 2024, Apr 28, 2022 (2 updates tracked since 2022).

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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

NPI1518014463

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION

Location Address18840 VENTURA BLVD STE 100ATarzana, CA 91356-3301

Mailing Address18840 Ventura Blvd Ste 100aTarzana, CA 91356-3301 · (818) 345-6126 · Fax (818) 345-5061

Phone(818) 345-6126

Fax(818) 345-5061

Organization SubpartNo

Authorized OfficialLydia NassouraDirector · (818) 345-6126

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJune 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1518014463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A062315

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

18840 VENTURA BLVD STE 100A, Tarzana, CA 91356

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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

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, CA

Active · expires Dec 3, 2027

CLIA Number05D2244714

Laboratory TypeObl

Certificate Effective DateDecember 4, 2025

Certificate Expiration DateDecember 3, 2027

Laboratory DirectorZahi E. Nassoura

Laboratory Phone(818) 345-6126

Laboratory LocationSan Fernando Valley Vascular Group18840 Ventura Blvd Suite 100A, Tarzana, CA 91356

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES

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

CAMERON JAMES ST. HILAIRE M.D.

Surgery (Vascular Surgery)

18840 VENTURA BLVD STE 100A
TARZANA, CA 91356

Los Angeles County (818) 345-6126

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 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.

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.