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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDON A VANNOORD, MD

Deactivated Sole Proprietor

DR. BRANDON A VANNOORD, MD is a Interventional Vascular Surgery healthcare provider located in SAN DIEGO, California. NPI 1558407510 is deactivated in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · SAN DIEGO, CA

This NPI has been deactivated. The record was deactivated on February 11, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1558407510
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2007 (12.035616438356 yrs)
Last Updated
Jan 8, 2025
Deactivated
Feb 11, 2019
Licenses
A113568 (CA)
23831 (NE)
A113568 (CA)
Sole Proprietor
Yes

Practice Information

Address
3405 KENYON ST STE 305
SAN DIEGO, CA, 921105007
Browse CA providers · Browse ZIP 92110
Phone
6198495777
Fax
6198495776
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
General Practice

Other Interventional Vascular Surgery Providers in SAN DIEGO, CA

Name Credential NPI
NAVNEET K. BODDU M.D. 1811917396
DR. ROY CHARLES BROWNLOW MD 1205949914
DR. MICHAEL MOON M.D. 1619014230
DR. KARIM TIMOTHY RAFAAT M.D. 1497941454
DR. WILLIAM B SCHOENFELD M.D. 1639349210
DR. MICHAEL FINNERN JR. M.D. 1083975916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.