Individual provider Active NPI

Joshua Andre Vendig, FNP

  • Family Nurse Practitioner
  • Bishop, CA
National Provider Identifier
1093936247
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10655 Issued in CA
Practice address
52 N Tu Su LN
Bishop, CA 93514-8058
Phone
(760) 873-8461
Fax
(760) 873-3908
NPI assigned
May 2, 2007
Last updated
Apr 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10655 CA Primary

Addresses

Primary practice location

52 N Tu Su LN
Bishop, CA 93514-8058

Mailing address

52 N Tu Su LN
Bishop, CA 93514-8058
Phone (760) 873-8461

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130425000184 CA Practitioner - Nurse Practitioner 4385880061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10655CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Aug 22, 2017 Accepting new patients
City & County of San Francisco CurrentSince Aug 22, 2017 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1093936247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 N TU SU LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148058",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N TU SU LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148058",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDIG",
        "first_name": "JOSHUA",
        "middle_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.