Physician Compare National (NPI:1487972592)

HEALTHCARE PROVIDER: VARINDER SINGH PHANGUREH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487972592
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820319932
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150601002771
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PHANGUREH
	Individual professional last name
Provider First Name	VARINDER
	Individual professional first name
Provider Middle Name	SINGH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GENERAL VASCULAR SURGERY MEDICAL GROUP, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1951390137
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 PARK PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	SAN RAMON
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945834460
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9252750551
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050320
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HIGHLAND HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ROSE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050488
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EDEN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050211
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ALAMEDA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y