Individual provider Active NPI

Roxanne Vasquez, MD

  • Psychiatry Physician
  • Oxnard, CA
National Provider Identifier
1073975124
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A152528 Issued in CA
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

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
152528CAMDSpecialist
A152528CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 4, 2023 Accepting new patients
County of Ventura PastSince Nov 19, 2023 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.

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.

Verify at the official NPI Registry.