Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vascular and Endovascular Surgery, PC

Organization Surgery Physician · NPI 1215407218

Vascular and Endovascular Surgery, PC is a Surgery Physician in San Jose, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2505 Samaritan Dr Ste 503
San Jose, CA 95124-4015
Phone: (408) 558-3600
Fax: (408) 614-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1215407218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abid Mogannam — Vascular Surgeon · (408) 899-8272
NPI enumeratedDecember 3, 2018
Last updated in NPPESDecember 4, 2018
Mailing address1900 Camden Ave Ste 101, San Jose, CA 95124-2944

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