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FITZGIBBONS VEIN CENTER
NPI 1861795965
Surgery - Vascular Surgery in Los Angeles, CA

Active since December 10, 2010
1245 WILSHIRE BLVD, SUITE 905, LOS ANGELES, CA 90017(213) 977-1211(213) 977-0625 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fitzgibbons Vein Center NPPES

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

FITZGIBBONS VEIN CENTER (NPI 1861795965) is a healthcare organization registered as a vascular surgery in Los Angeles, California and active in the NPI registry since December 2010. The organization lists Terrence J Fitzgibbons, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861795965
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameT J FITZGIBBONS MD INC
Location Address1245 WILSHIRE BLVD, SUITE 905Los Angeles, CA 90017-4810
Mailing Address1245 Wilshire Blvd, Suite 905Los Angeles, CA 90017-4810 · (213) 977-1211 · Fax (213) 977-0625
Phone(213) 977-1211
Fax(213) 977-0625
Organization SubpartNo
Authorized OfficialTerrence J FitzgibbonsMedical Director · (213) 977-1211
Enumeration DateDecember 10, 2010
Last NPPES UpdateJuly 29, 2014
✔ NPI 1861795965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CA · G32025
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1245 WILSHIRE BLVD, Los Angeles, CA 90017
Open in Google Maps ↗

Other Names 1

Doing Business AsFitzgibbons Vein Center

Other Identifiers 2

Medicare UPINA91399CA
OtherG32025CA · State Of Ca License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Fitzgibbons Vein Center 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 Fitzgibbons Vein Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terrence Fitzgibbons, M.D.
Vascular Surgery
NPI 1285740464
1245 WILSHIRE BLVD SUITE 905
Los Angeles, CA 90017
(213) 977-1211
✔ PECOS✔ Accepts MedicareSame address

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 T J Fitzgibbons MD Inc's NPI number?

The NPI number for T J Fitzgibbons MD Inc is 1861795965. It was assigned to this organization in the NPPES registry on December 10, 2010. The provider is doing business as Fitzgibbons Vein Center.

Where is T J Fitzgibbons MD Inc located?

T J Fitzgibbons MD Inc is located at 1245 Wilshire Blvd Suite 905, Los Angeles, CA 90017. The listed phone number is (213) 977-1211.

What is T J Fitzgibbons MD Inc's specialty?

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

Is T J Fitzgibbons MD Inc enrolled in Medicare?

Yes. T J Fitzgibbons MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through T J Fitzgibbons MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to T J Fitzgibbons MD Inc. 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 T J Fitzgibbons MD Inc was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.