Healthcare Provider Details

I. General information

NPI: 1003796731
Provider Name (Legal Business Name): VASC AI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/04/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 SUMMERWOOD DR
FREMONT CA
94536-1594
US

IV. Provider business mailing address

338 SUMMERWOOD DR
FREMONT CA
94536-1594
US

V. Phone/Fax

Practice location:
  • Phone: 916-893-0157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASPAL KAMBOJ
Title or Position: CTO
Credential:
Phone: 916-893-0157