# NORTH BAY CARDIAC THORACIC AND VASCULAR SURGERY INC

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

## Provider details

- **NPI number:** 1457625055
- **Authorized official:** KRISTI JONES (BILLING MANAGER)
- **Authorized official phone:** (707) 255-8825

## Contact information

- **Practice address:** 1860 PENNSYLVANIA AVE, SUITE 110, FAIRFIELD, CA 94533-3590
- **Practice address phone:** (707) 429-4278
- **Mailing address:** 3010 BEARD RD, NAPA, CA 94558-3442
- **Mailing address phone:** (707) 429-4278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 07/15/2014