Individual provider Active NPI

Ryan Vasquez, PHARMD

  • Pharmacist
  • Foothill Ranch, CA
National Provider Identifier
1073134532
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56421 Issued in CA
Practice address
26882 Towne Centre Dr FL 1
Foothill Ranch, CA 92610-2862
Phone
(800) 922-2000
Fax
(949) 455-8538
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56421 CA Primary

Addresses

Primary practice location

26882 Towne Centre Dr FL 1
Foothill Ranch, CA 92610-2862

Mailing address

26882 Towne Centre Dr FL 1
Foothill Ranch, CA 92610-2862
Phone (800) 922-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
56421CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan Inc CurrentSince Jun 25, 2023 Accepting new patients

Locations

26882 Towne Centre Dr
Fl 1
Foothill Ranch, CA 92610
Phone (800) 922-2000

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1073134532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26882 TOWNE CENTRE DR FL 1",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102862",
            "telephone_number": "800-922-2000",
            "fax_number": "949-455-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26882 TOWNE CENTRE DR FL 1",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102862",
            "telephone_number": "800-922-2000",
            "fax_number": "949-455-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "RYAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.