Active NPI
Priscilla F Vado
- Rehabilitation Practitioner
- Compton, CA
National Provider Identifier
1053507467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 369 W Compton Blvd
Compton, CA 90220-3110 - Phone
- (310) 669-9510
- Fax
- (310) 669-9501
- NPI assigned
- Sep 19, 2007
- Last updated
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
369 W Compton Blvd
Compton, CA 90220-3110
Mailing address
369 W Compton Blvd
Compton, CA 90220-3110
Phone (310) 669-9510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Psychological Services | Current | Accepting new patients | |
| Integrative Therapy Licensed Clinical Social Worker S-Corp | Current | Accepting new patients |
Locations
15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Victorville, CA
- NPI 1104463371
-
- Mental Health Counselor
- Eastvale, CA
- NPI 1811830342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1053507467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 W COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203110",
"telephone_number": "310-669-9510",
"fax_number": "310-669-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 W COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203110",
"telephone_number": "310-669-9510",
"fax_number": "310-669-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADO",
"first_name": "PRISCILLA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.