PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER
NPI 1942593918
Radiology - Vascular & Interventional Radiology in Culver City, CA
About Pacific Interventional Vascular Access Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER (NPI 1942593918) is a healthcare organization registered as a vascular & interventional radiology in Culver City, California and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Spencer Brown, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Interventional Vascular Access Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific Interventional Vascular Access Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2035987
Pacific Interventional Vascular Access Center · Culver City, CAFrequently 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 Pacific Interventional Vascular Access Center Medical Corporation's NPI number?
The NPI number for Pacific Interventional Vascular Access Center Medical Corporation is 1942593918. It was assigned to this organization in the NPPES registry on May 24, 2011. The provider is doing business as Pacific Interventional Vascular Access Center. The provider was formerly known as Brown and Tabibian, A Medical Corporation.
Where is Pacific Interventional Vascular Access Center Medical Corporation located?
Pacific Interventional Vascular Access Center Medical Corporation is located at 6076 Bristol Pkwy Ste 108, Culver City, CA 90230. The listed phone number is (310) 348-9604.
What is Pacific Interventional Vascular Access Center Medical Corporation's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Pacific Interventional Vascular Access Center Medical Corporation enrolled in Medicare?
Yes. Pacific Interventional Vascular Access Center Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Pacific Interventional Vascular Access Center Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pacific Interventional Vascular Access Center Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pacific Interventional Vascular Access Center Medical Corporation, in General Surgery and Nephrology. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacific Interventional Vascular Access Center Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2035987) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pacific Interventional Vascular Access Center Medical Corporation was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Pacific Interventional Vascular Access Center · NPI 1942593918
Vascular & Interventional Radiology organization in Culver City, California. Organization record, active in the CMS NPPES registry since May 24, 2011.
## Identity
- **NPI:** 1942593918 (Entity type: Organization)
- **Enumerated:** May 24, 2011
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **Legal business name:** Pacific Interventional Vascular Access Center Medical Corporation
- **Also known as:** Brown and Tabibian, A Medical Corporation (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Spencer Brown, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 6076 BRISTOL PKWY STE 108, Culver City, CA 90230-6600
- **Phone:** (310) 348-9604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (1), Nephrology (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942593918) · Data from the CMS NPPES public registry.