Individual provider Active NPI

Maria Trinidad Vazquez-Walters, D.C

  • Chiropractor
  • Lincoln, CA
National Provider Identifier
1447065693
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36809 Issued in CA
Practice address
570 5TH St Ste 200
Lincoln, CA 95648-1854
Phone
(916) 343-0764
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36809 CA Primary

Addresses

Primary practice location

570 5TH St Ste 200
Lincoln, CA 95648-1854

Mailing address

570 5TH St Ste 200
Lincoln, CA 95648-1854
Phone (916) 343-0764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414002830 CA Practitioner - Chiropractic 1557884632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36809CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vazquez Flourish Chiropractic Inc Chiropractor CurrentSince Feb 10, 2025 Accepting new patients

Locations

570 5th St
Ste 200
Lincoln, CA 95648
Phone (916) 343-0764

570 5th St
#200
Lincoln, CA 95648

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1447065693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 5TH ST STE 200",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956481854",
            "telephone_number": "916-343-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 5TH ST STE 200",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956481854",
            "telephone_number": "916-343-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-WALTERS",
        "first_name": "MARIA",
        "middle_name": "TRINIDAD",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.