Tri-State Vascular Group, PLLC
NPI 1366993818 · Vascular Surgery Physician · Needles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tri-State Vascular Group, PLLC is a Vascular Surgery Physician organization in Needles, CA (NPI 1366993818).
Provider details
- NPI number
- 1366993818
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wantzy Cooper, Owner/Member Manager(760) 590-0155
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Tri-State Vascular Group, PLLC's NPI number?
- Tri-State Vascular Group, PLLC's National Provider Identifier (NPI) is 1366993818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri-State Vascular Group, PLLC?
- Tri-State Vascular Group, PLLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tri-State Vascular Group, PLLC located?
- Tri-State Vascular Group, PLLC's practice location on file with NPPES is 1401 Bailey Ave Bldg a, Needles, CA 92363-3103.
- What is Tri-State Vascular Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tri-State Vascular Group, PLLC is (960) 590-0155.
- Does Tri-State Vascular Group, PLLC accept Medicare?
- Tri-State Vascular Group, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tri-State Vascular Group, PLLC?
- The authorized official listed on Tri-State Vascular Group, PLLC's NPPES record is Wantzy Cooper, Owner/Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri-State Vascular Group, PLLC's NPI active?
- Yes — Tri-State Vascular Group, PLLC's NPI (1366993818) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.