Active NPI
Cambria Family Practice LLC
- Family Medicine Physician
- Northern Cambria, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS009127L
- Legal business name
- CAMBRIA FAMILY PRACTICE LLC
- Practice address
- 1704 Philadelphia Ave
Northern Cambria, PA 15714-1180 - Phone
- (814) 948-0775
- Fax
- (814) 948-0746
- NPI assigned
- Jan 16, 2013
- Last updated
- Jan 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John M Vasil, MD
- Title
- Physician/Owner
- Phone
- (814) 948-0775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS009127L | PA | Primary |
Addresses
Primary practice location
1704 Philadelphia Ave
Northern Cambria, PA 15714-1180
Mailing address
1704 Philadelphia Ave
Northern Cambria, PA 15714-1180
Phone (814) 948-0775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017035060002 | Medicaid | PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0956361 | Cambria Family Practice, LLC | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Northern Cambria, PA
- NPI 1629089982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1396083945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 PHILADELPHIA AVE",
"city": "NORTHERN CAMBRIA",
"state": "PA",
"postal_code": "157141180",
"telephone_number": "814-948-0775",
"fax_number": "814-948-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 PHILADELPHIA AVE",
"city": "NORTHERN CAMBRIA",
"state": "PA",
"postal_code": "157141180",
"telephone_number": "814-948-0775",
"fax_number": "814-948-0746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIA FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "VASIL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "814-948-0775",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS009127L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017035060002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northern Cambria, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.