Active NPI
Oswald Manuel Vargas, MS
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1396095105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98193
- Practice address
- 1053 North D St
San Bernardino, CA 92410 - Phone
- (909) 522-4656
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98193 | CA | Primary |
Addresses
Primary practice location
1053 North D St
San Bernardino, CA 92410
Mailing address
1908 Business Center Dr
Suite 220
San Bernardino, CA 92408-3436
Phone (909) 890-5930
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98193 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396095105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 BUSINESS CENTER DR",
"address_2": "SUITE 220",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083436",
"telephone_number": "909-890-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 NORTH D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92410",
"telephone_number": "909-522-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "OSWALD",
"middle_name": "MANUEL",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.