Joe C Vasquez

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

500 Allerton St FL 2
Redwood City, CA 94063-1519

Phone

(650) 599-9955

Fax

(650) 599-9273

NPI assigned

Jun 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• El Centro de Libertad/the Freedom Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Half Moon Bay, CA
  • NPI 1336579713
  NPD (past)

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1164837837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST FL 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "telephone_number": "650-599-9955",
            "fax_number": "650-599-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST FL 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "telephone_number": "650-599-9955",
            "fax_number": "650-599-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JOE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99475591C54141",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Vanerschelden
• Drayla Vanrachack
• Gary Oscar Vargas, M.D.
• Joshua Vasconcellos
• Christina Rosa Vasquez-Leiva, LCSW82547
• Zoia A Vassilevskaia
• Raphael Vassor, P.A.
• Stephen Vaughan, MD
• Sara Josephine Vaughn, M.D.
• Kristin Mika Vavaroutsos

• Substance Abuse Rehabilitation Facility in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.