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PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER
NPI 1942593918
Radiology - Vascular & Interventional Radiology in Culver City, CA

Active since May 24, 2011CLIA 05D2035987 · Waiver
6076 BRISTOL PKWY STE 108, CULVER CITY, CA 90230(310) 348-9604 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Jun 21, 2019, Jul 6, 2017 and 3 more (6 updates tracked since 2016).

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

NPI1942593918
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NamePACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION
Location Address6076 BRISTOL PKWY STE 108Culver City, CA 90230-6600
Mailing Address40 Valley Stream Pkwy, Suite 100Malvern, PA 19355-1407 · (610) 644-8900
Phone(310) 348-9604
Organization SubpartNo
Authorized OfficialSpencer BrownAuthorized Official · (310) 348-9604
Enumeration DateMay 24, 2011
Last NPPES UpdateNovember 26, 20246 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1942593918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
6076 BRISTOL PKWY STE 108, Culver City, CA 90230
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Other Names 2

Doing Business AsPacific Interventional Vascular Access Center
Former Legal Business NameBrown And Tabibian, A Medical Corporation

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

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, CA
Active · expires Jan 29, 2028
CLIA Number05D2035987
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorSpencer Brown
Laboratory Phone(310) 775-2011
Laboratory LocationPacific Interventional Vascular Access Center6076 Bristol Parkway #108, Culver City, CA 90230
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI
Surgery
6076 BRISTOL PKWY STE 108
CULVER CITY, CA 90230
Los Angeles County (310) 348-9604

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 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.

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 20 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.