Individual provider Active NPI

Andrea Renee Vasquez, REGISTERED NURSE

  • Community Health Registered Nurse
  • Yuba City, CA
National Provider Identifier
1225661804
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
95130413 Issued in CA
Practice address
1445 Veterans Memorial Cir
Yuba City, CA 95993-3011
Phone
(530) 822-5924
Fax
(530) 822-5980
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 95130413 CA Primary

Addresses

Primary practice location

1445 Veterans Memorial Cir
Yuba City, CA 95993-3011

Mailing address

1445 Veterans Memorial Cir
Yuba City, CA 95993-3011
Phone (530) 822-5924

Other practice location 1

1424 Tres Picos Dr
Yuba City, CA 95993-5196
Phone (530) 237-6958

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95130413CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1225661804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 VETERANS MEMORIAL CIR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959933011",
            "telephone_number": "530-822-5924",
            "fax_number": "530-822-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 VETERANS MEMORIAL CIR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959933011",
            "telephone_number": "530-822-5924",
            "fax_number": "530-822-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1424 Tres Picos Dr",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959935196",
            "country_code": "US",
            "telephone_number": "530-237-6958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95130413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

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