Phillip Vazquez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

149631 Issued in CA

Practice address

4060 Campus Dr Ste 120
Newport Beach, CA 92660-2205

Phone

(714) 497-3008

NPI assigned

Aug 4, 2025

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1275417222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CORONADO AVE APT 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908147761",
            "telephone_number": "732-589-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "714-497-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Vazin, LMFT
• Parvaneh Vaziri, MD
• Jalil Vazquez
• Manuela Vazquez, M.D.
• Mayra Elizet Vazquez
• Brenda Vega
• Tania Angelica Vega, AUD
• Ara Vehian, M.D.
• Izak Velasco
• Elizabeth Velez, PA

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.