Active NPI
Araceli Vasquez
- Rehabilitation Practitioner
- Culver City, CA
National Provider Identifier
1366783565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 9808 Venice Blvd Ste 700
Culver City, CA 90232 - Phone
- (310) 945-3350
- Fax
- (310) 945-3356
- NPI assigned
- Mar 13, 2013
- Last updated
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
9808 Venice Blvd Ste 700
Culver City, CA 90232
Mailing address
11228 Herrick Ave
Pacoima, CA 91331-1921
Phone (818) 621-3951
Other practice location 1
12130 Paramount Blvd
Downey, CA 90242-2339
Phone (562) 923-9414
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1366783565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11228 HERRICK AVE",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913311921",
"telephone_number": "818-621-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD STE 700",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90232",
"telephone_number": "310-945-3350",
"fax_number": "310-945-3356"
}
],
"practiceLocations": [
{
"address_1": "12130 Paramount Blvd",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422339",
"country_code": "US",
"telephone_number": "562-923-9414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ARACELI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.