Active NPI
Mirkko Galdo Vasquez
- Vascular Sonography Radiologic Technologist
- Valencia, CA
National Provider Identifier
1396219168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 134184
- Practice address
- 25000 Avenue Stanford Ste 171
Valencia, CA 91355-1224 - Phone
- (786) 683-0083
- NPI assigned
- Jan 15, 2019
- 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 |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | 134184 | MD | Primary |
Addresses
Primary practice location
25000 Avenue Stanford Ste 171
Valencia, CA 91355-1224
Mailing address
25000 Avenue Stanford Ste 171
Valencia, CA 91355-1224
Phone (786) 683-0083
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134184 | MD | MD | Vascular Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1396219168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 AVENUE STANFORD STE 171",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551224",
"telephone_number": "786-683-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25000 AVENUE STANFORD STE 171",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551224",
"telephone_number": "786-683-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALDO VASQUEZ",
"first_name": "MIRKKO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "MD",
"license": "134184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.