VALLEY VILLAGE VEIN CLINIC PC
NPI 1811201643
Surgery - Vascular Surgery in Valley Village, CA

Active since August 04, 2010
12840 RIVERSIDE DR, STE 300, VALLEY VILLAGE, CA 91607(847) 593-8616(888) 398-3230 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Valley Village Vein Clinic Pc NPPES

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

VALLEY VILLAGE VEIN CLINIC PC (NPI 1811201643) is a healthcare organization registered as a vascular surgery in Valley Village, California and active in the NPI registry since August 2010. The organization lists Flora Katsnelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1811201643
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVALLEY VILLAGE VEIN CLINIC PC
Location Address12840 RIVERSIDE DR, STE 300Valley Village, CA 91607-3327
Mailing AddressPo Box 832Northbrook, IL 60065-0832 · (262) 877-8752 · Fax (888) 398-3230
Fax(888) 398-3230
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner · (847) 593-8616
Enumeration DateAugust 4, 2010
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1811201643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
12840 RIVERSIDE DR, Valley Village, CA 91607

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)

Valley Village Vein Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Valley Village Vein Clinic PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Vascular Surgery
NPI 1811064728
18250 ROSCOE BLVD SUITE 335
Northridge, CA 91325
(818) 998-8591
✔ PECOS✔ Accepts Medicare8.1 mi
General Surgery
NPI 1588155477
1000 W CARSON ST
Torrance, CA 90502
(424) 306-8070
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1922023399
302 CALLE PAISANO
San Clemente, CA 92673
(949) 951-9900
✔ PECOS✔ Accepts Medicare66 mi
General Practice
NPI 1225066962
11370 ANDERSON ST SUITE 2100
Loma Linda, CA 92354
(909) 558-2822
✔ PECOS✔ Accepts Medicare66 mi
Family Practice
NPI 1346453628
1000 VALE TERRACE DR
Vista, CA 92084
(760) 308-5003
✔ PECOS✔ Accepts Medicare94 mi
Emergency Medicine
NPI 1316234966
514 SAN ANDRES DR
Solana Beach, CA 92075
(714) 296-0550
✔ PECOS✔ Accepts Medicare105 mi
Vascular Surgery
NPI 1952537326
9850 GENESEE AVE STE 410
La Jolla, CA 92037
(858) 550-0330
✔ PECOS✔ Accepts Medicare111 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 Valley Village Vein Clinic PC's NPI number?

The NPI number for Valley Village Vein Clinic PC is 1811201643. It was assigned to this organization in the NPPES registry on August 4, 2010.

Where is Valley Village Vein Clinic PC located?

Valley Village Vein Clinic PC is located at 12840 Riverside Dr Ste 300, Valley Village, CA 91607. The listed phone number is (847) 593-8616.

What is Valley Village Vein Clinic PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Valley Village Vein Clinic PC enrolled in Medicare?

Yes. Valley Village Vein Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valley Village Vein Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Valley Village Vein Clinic PC, in Emergency Medicine, Family Practice, General Practice, General Surgery, Internal Medicine and 1 other specialty. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Valley Village Vein Clinic PC was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.