Active NPI
Joshua Andre Vendig, FNP
- Family Nurse Practitioner
- Bishop, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10655
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10655 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Current | 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.
-
dba San Francisco Public Health Laboratory
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
dba CCSF DPH Multi - Practice Medical Group
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
dba DSAAM OTOP Methadone Maintenance
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.