# VASCULAR INSTITUTE OF NORTHERN CALIFORNIA, A PODIATRY CORPORATION

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

## Provider details

- **NPI number:** 1932691797
- **Authorized official:** DR. TRACY L BASSO (OWNER)
- **Authorized official phone:** (916) 235-9100

## Contact information

- **Practice address:** 500 UNIVERSITY AVE STE 250, SACRAMENTO, CA 95825-6525
- **Practice address phone:** (916) 235-9100
- **Practice address fax:** (916) 680-9550
- **Mailing address:** 635 ANDERSON RD STE 4, DAVIS, CA 95616-3505
- **Mailing address phone:** (530) 979-6226
- **Mailing address fax:** (530) 758-1896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 05/14/2024