Organization Active NPI

Cambria Family Practice LLC

  • Family Medicine Physician
  • Northern Cambria, PA
National Provider Identifier
1396083945
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009127L Issued in PA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
John M Vasil, MDNPI 1629089982
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017035060002MedicaidPA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0956361Cambria Family Practice, LLC1704 Philadelphia Avenue, Northern Cambria, PA 15714Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.