# WEST COAST VASCULAR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053575548
- **Authorized official:** MR. MICHAEL A MENDEZ (PRACTICE MANAGER)
- **Authorized official phone:** (805) 604-4443

## Contact information

- **Practice address:** 100 N BRENT ST STE 201, VENTURA, CA 93003-2835
- **Practice address phone:** (805) 643-3330
- **Practice address fax:** (805) 643-3331
- **Mailing address:** 100 N BRENT ST STE 201, VENTURA, CA 93003-2835
- **Mailing address phone:** (805) 643-3330
- **Mailing address fax:** (805) 643-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A79501 | CA | — |
| 2086S0129X | Vascular Surgery Physician | A99886 | CA | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 07/14/2008