CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG
NPI 1891092797
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Encino, CA

Active since February 12, 2011
16030 VENTURA BLVD STE 605, ENCINO, CA 91436(818) 422-5322(818) 578-8476 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About California Institute For Cardiovascular And Laser Vein Surg NPPES

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

CALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG (NPI 1891092797) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Encino, California and active in the NPI registry since February 2011. The organization lists Sam Ebrahimi, Owner, as its authorized official.

NPPES Registry Identity

NPI1891092797
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameCALIFORNIA INSTITUTE FOR CARDIOVASCULAR AND LASER VEIN SURG
Location Address16030 VENTURA BLVD STE 605Encino, CA 91436-4471
Mailing Address18375 Ventura Blvd # 404Tarzana, CA 91356-4218 · (818) 422-5322 · Fax (818) 578-8476
Fax(818) 578-8476
Organization SubpartNo
Authorized OfficialSam EbrahimiOwner · (818) 422-5322
Enumeration DateFebruary 12, 2011
Last NPPES UpdateApril 29, 2016
✔ NPI 1891092797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · A060777
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
16030 VENTURA BLVD STE 605, Encino, CA 91436

Other Identifiers 6

Medicare UPINEV886ACA
Medicaid404465702MD
Medicaid035556900DC
Medicare PIN019631W58DC
Medicare UPINH78581MD
Medicare PING02731C02DC

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)

California Institute For Cardiovascular And Laser Vein Surg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to California Institute For Cardiovascular And Laser Vein Surg, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Vascular Surgery
NPI 1114916376
18375 VENTURA BLVD SUITE# 404
Tarzana, CA 91356
(818) 422-5322
✔ PECOS✔ Accepts Medicare3.0 mi
Family Practice
NPI 1154742831
2670 S WHITE RD STE 160
San Jose, CA 95148
(408) 826-7679
✔ PECOS✔ Accepts Medicare287 mi
Vascular Surgery
NPI 1225099518
224 MAIN ST SUITE 1-D
Salem, NH 03079
(603) 898-3461
✔ PECOS✔ Accepts Medicare2,596 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 California Institute For Cardiovascular And Laser Vein Surg's NPI number?

The NPI number for California Institute For Cardiovascular And Laser Vein Surg is 1891092797. It was assigned to this organization in the NPPES registry on February 12, 2011.

Where is California Institute For Cardiovascular And Laser Vein Surg located?

California Institute For Cardiovascular And Laser Vein Surg is located at 16030 Ventura Blvd Ste 605, Encino, CA 91436. The listed phone number is (818) 422-5322.

What is California Institute For Cardiovascular And Laser Vein Surg's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is California Institute For Cardiovascular And Laser Vein Surg enrolled in Medicare?

Yes. California Institute For Cardiovascular And Laser Vein Surg is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Institute For Cardiovascular And Laser Vein Surg?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to California Institute For Cardiovascular And Laser Vein Surg, in Family Practice 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 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 California Institute For Cardiovascular And Laser Vein Surg was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.