PACIFIC VASCUCARE, INC.
NPI 1578882965
Radiology - Vascular & Interventional Radiology in Los Angeles, CA
About Pacific Vascucare, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC VASCUCARE, INC. (NPI 1578882965) is a healthcare organization registered as a vascular & interventional radiology in Los Angeles, California and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Bruce A. Greenfield, President, 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)
Pacific Vascucare, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pacific Vascucare, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Los Angeles, CA 90033
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 2
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 05D2023755
Pacific Vascucare, Inc · Los Angeles, CACertificate of Waiver 05D2156713
Pacific Vascucare Surgery Center · Los Angeles, 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 Pacific Vascucare, Inc.'s NPI number?
The NPI number for Pacific Vascucare, Inc. is 1578882965. It was assigned to this organization in the NPPES registry on May 25, 2010.
Where is Pacific Vascucare, Inc. located?
Pacific Vascucare, Inc. is located at 1660 W 3rd St, Los Angeles, CA 90017. The listed phone number is (213) 201-0850.
What is Pacific Vascucare, Inc.'s specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Pacific Vascucare, Inc. enrolled in Medicare?
Yes. Pacific Vascucare, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Vascucare, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Pacific Vascucare, Inc., in Interventional Radiology, Nephrology and Vascular Surgery. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacific Vascucare, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2023755) is associated with this NPI, valid through April 28, 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 Pacific Vascucare, Inc. was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Pacific Vascucare, Inc. · NPI 1578882965
Vascular & Interventional Radiology organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since May 25, 2010.
## Identity
- **NPI:** 1578882965 (Entity type: Organization)
- **Enumerated:** May 25, 2010
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Organization subpart:** No
- **Authorized official:** Bruce Greenfield, PRESIDENT
## Practice location
- **Address:** 1660 W 3RD ST, Los Angeles, CA 90017-1138
- **Phone:** (213) 201-0850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Vascular Surgery (2), Interventional Radiology (1), Nephrology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578882965) · Data from the CMS NPPES public registry.