Ernest Joseph Vasti, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

G54133 Issued in CA

Practice address

10089 Folsom Blvd, Suites a & C
Rancho Cordova, CA 95670-1935

Phone

(916) 366-6531

NPI assigned

Jul 8, 2006

Last updated

Nov 5, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gold Country Health Initiative, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, CA
  • NPI 1932666575
  NPD Authorized official
• Sunrise Health & Wellness Center, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Rancho Cordova, CA
  • NPI 1952809592
  NPD Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1205869849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4057",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-463-0891",
            "fax_number": "209-463-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10089 FOLSOM BLVD, SUITES A & C",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956701935",
            "telephone_number": "916-366-6531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 N California St Suite C",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "95204",
            "country_code": "US",
            "telephone_number": "209-463-0891",
            "fax_number": "209-463-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASTI",
        "first_name": "ERNEST",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G54133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeriya Yurchak D.M.D. Inc.
• Philip Paul Van de Carr, M.D.
• Allyson Kay Vander Broek, PHARMD
• Baron Vanhonsebrouck, OT,CHT
• Brenda Marie Vasquez, BSN RN
• April Vaters, CADC-I
• Sandra Marie Veirs
• Terry David Verkler, RN
• Ani M Verrios, PHARM. D
• John Dahunan Verzosa, M.D.

• Addiction Medicine (Family Medicine) Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.