SOUTHERN CALIFORNIA VEIN AND AESTHETICS LLC
NPI 1720935505
Surgery - Vascular Surgery in Riverside, CA

Active since March 11, 2026
6780 INDIANA AVE STE 110, RIVERSIDE, CA 92506(951) 213-9269(951) 213-6483 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern California Vein And Aesthetics Llc NPPES

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

SOUTHERN CALIFORNIA VEIN AND AESTHETICS LLC (NPI 1720935505) is a healthcare organization registered as a vascular surgery in Riverside, California and active in the NPI registry since March 2026. The organization lists Omar Z Tahir, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720935505
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTHERN CALIFORNIA VEIN AND AESTHETICS LLC
Location Address6780 INDIANA AVE STE 110Riverside, CA 92506-4284
Mailing Address18092 Wika Rd Ste 220Apple Valley, CA 92307-2132 · (760) 515-6260 · Fax (949) 863-8505
Fax(951) 213-6483
Organization SubpartNo
Authorized OfficialOmar Z TahirCeo · (760) 515-6260
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
NPI 1720935505 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.

6780 INDIANA AVE STE 110, Riverside, CA 92506

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

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
6780 INDIANA AVE STE 110
RIVERSIDE, CA 92506
Family Medicine
6780 INDIANA AVE STE 110
RIVERSIDE, CA 92506

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 Southern California Vein And Aesthetics LLC's NPI number?

The NPI number for Southern California Vein And Aesthetics LLC is 1720935505. It was assigned to this organization in the NPPES registry on March 11, 2026.

Where is Southern California Vein And Aesthetics LLC located?

Southern California Vein And Aesthetics LLC is located at 6780 Indiana Ave Ste 110, Riverside, CA 92506. The listed phone number is (951) 213-9269.

What is Southern California Vein And Aesthetics LLC'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 Southern California Vein And Aesthetics LLC was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.