# PACIFIC COAST CARDIAC & VASCULAR SURGEONS

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

## Provider details

- **NPI number:** 1205886108
- **Authorized official:** DR. VINCENT AUGUSTUS GAUDIANI MD (OWNER/CARDIAC SURGEON)
- **Authorized official phone:** (650) 366-0225

## Contact information

- **Practice address:** 2900 WHIPPLE AVE, SUITE 225, REDWOOD CITY, CA 94062-2851
- **Practice address phone:** (650) 366-0225
- **Practice address fax:** (650) 364-3728
- **Mailing address:** 2900 WHIPPLE AVE, SUITE 225, REDWOOD CITY, CA 94062-2851
- **Mailing address phone:** (650) 366-0225
- **Mailing address fax:** (650) 364-3728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | — |
| 204F00000X | Transplant Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 12/17/2010