Active NPI
Roxanne Vasquez, MD
- Psychiatry Physician
- Oxnard, CA
National Provider Identifier
1073975124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A152528
- Practice address
- 2240 E Gonzales Rd Ste 140
Oxnard, CA 93036-8212 - Phone
- (805) 981-5101
- NPI assigned
- Mar 27, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 152528 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | A152528 | CA | Primary |
Addresses
Primary practice location
2240 E Gonzales Rd Ste 140
Oxnard, CA 93036-8212
Mailing address
17250 Bircher St
Granada Hills, CA 91344-2408
Phone (818) 368-7753
Other practice location 1
1911 Williams Dr Ste 150
Oxnard, CA 93036-2612
Phone (805) 981-8460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vroxanne.vasquez@ventura.cernerdirect.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152528 | CA | MD | Specialist |
| A152528 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Past | Accepting new patients |
Locations
1911 Williams Dr
Ste 150
Oxnard, CA 93036
Phone (805) 981-8460
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1912690769
-
- State or Local Public Health Clinic/Center
- Oxnard, CA
- NPI 1821527326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1073975124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17250 BIRCHER ST",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442408",
"telephone_number": "818-368-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E GONZALES RD STE 140",
"city": "OXNARD",
"state": "CA",
"postal_code": "930368212",
"telephone_number": "805-981-5101"
}
],
"practiceLocations": [
{
"address_1": "1911 Williams Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930362612",
"country_code": "US",
"telephone_number": "805-981-8460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ROXANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "152528",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A152528",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vroxanne.vasquez@ventura.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Cerner Direct Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Information",
"address_1": "2240 E Gonzales Rd Ste 140",
"city": "Oxnard",
"state": "CA",
"country_code": "US",
"postal_code": "930368212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.