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

Q: 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.

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: October 18, 2026.

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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

Phone(951) 213-9269

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Vein And Aesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern California Vein And Aesthetics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Omar Tahir, MD

Vascular Surgery

NPI 1316102544

16008 KAMANA RD STE 101
Apple Valley, CA 92307

(760) 683-2199

✔ PECOS✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Southern California Vein And Aesthetics LLC enrolled in Medicare?

Yes. Southern California Vein And Aesthetics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Vein And Aesthetics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Southern California Vein And Aesthetics LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.