Renaissance Asthetic Laser and Vein Institute, a Medical Corporation
NPI 1730258187 · Vascular Surgery Physician · Thousand Oaks, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renaissance Asthetic Laser and Vein Institute, a Medical Corporation is a Vascular Surgery Physician organization in Thousand Oaks, CA (NPI 1730258187).
Provider details
- NPI number
- 1730258187
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gholam Mohammadzadeh, Owner/President(805) 379-6717
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-11-07
- Last updated
- 2024-08-23
- Certified
- 2024-08-23
Frequently asked questions
- What is Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's NPI number?
- Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's National Provider Identifier (NPI) is 1730258187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Asthetic Laser and Vein Institute, a Medical Corporation?
- Renaissance Asthetic Laser and Vein Institute, a Medical Corporation is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Renaissance Asthetic Laser and Vein Institute, a Medical Corporation located?
- Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's practice location on file with NPPES is 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361-1018.
- What is Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Asthetic Laser and Vein Institute, a Medical Corporation is (805) 379-6717.
- Does Renaissance Asthetic Laser and Vein Institute, a Medical Corporation accept Medicare?
- Renaissance Asthetic Laser and Vein Institute, a Medical Corporation 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 Renaissance Asthetic Laser and Vein Institute, a Medical Corporation?
- The authorized official listed on Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's NPPES record is Gholam Mohammadzadeh, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's NPI active?
- Yes — Renaissance Asthetic Laser and Vein Institute, a Medical Corporation's NPI (1730258187) is active in the NPPES registry as of the last update on 2024-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.