Healthcare Provider Details

I. General information

NPI: 1346164076
Provider Name (Legal Business Name): VYNCA MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 PACES FERRY RD SE STE 750
ATLANTA GA
30339-4053
US

IV. Provider business mailing address

1875 S GRANT ST STE 760
SAN MATEO CA
94402-2670
US

V. Phone/Fax

Practice location:
  • Phone: 888-227-8884
  • Fax: 866-422-9255
Mailing address:
  • Phone: 888-227-8884
  • Fax: 866-422-9255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH JASSER
Title or Position: OWNER
Credential:
Phone: 602-663-8228