Active NPI
Roberto Carlos Vaca, 101YS0200X
- School Counselor
- Sultana, CA
National Provider Identifier
1407709249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 210086664
- Practice address
- 10643 Avenue 416
Sultana, CA 93666-7532 - Phone
- (559) 591-1634
- NPI assigned
- Feb 20, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 210086664 | CA | Primary |
Addresses
Primary practice location
10643 Avenue 416
Sultana, CA 93666-7532
Mailing address
10643 Avenue 416
Sultana, CA 93666-7532
Phone (559) 591-1634
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 |
|---|---|---|---|
| 210086664 | CA | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monson-Sultana Unified School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Sultana, CA
- NPI 1447307335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1407709249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10643 AVENUE 416",
"city": "SULTANA",
"state": "CA",
"postal_code": "936667532",
"telephone_number": "559-591-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10643 AVENUE 416",
"city": "SULTANA",
"state": "CA",
"postal_code": "936667532",
"telephone_number": "559-591-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACA",
"first_name": "ROBERTO",
"middle_name": "CARLOS",
"credential": "101YS0200X",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "210086664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sultana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.