Organization
PACIFIC COAST CARDIAC & VASCULAR SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT AUGUSTUS GAUDIANI MD (OWNER/CARDIAC SURGEON)
(650) 366-0225
Entity
Organization
Contact information
Practice address
2900 WHIPPLE AVE, SUITE 225, REDWOOD CITY, CA 94062-2851
(650) 366-0225
(650) 364-3728
Mailing address
2900 WHIPPLE AVE, SUITE 225, REDWOOD CITY, CA 94062-2851
(650) 366-0225
(650) 364-3728
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2153
RAILROAD MEDICARE
CA
05
—
GR0052800
—
CA
Enumeration date
05/11/2006
Last updated
12/17/2010
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