Individual provider Active NPI

Nora Paulina Vasquez, MD

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1447296645
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G68556 Issued in CA
Practice address
2701 Ocean Park Blvd Ste 118
Santa Monica, CA 90405-5219
Phone
(310) 829-8917
Fax
(424) 212-5938
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G68556 CA Primary

Addresses

Primary practice location

2701 Ocean Park Blvd Ste 118
Santa Monica, CA 90405-5219

Mailing address

2701 Ocean Park Blvd Ste 118
Santa Monica, CA 90405-5219
Phone (310) 829-8917

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nvasquez473256@oc.providencedirect.org
Direct Messaging Address nvasquez473256@oc.providencedirect.org
Direct Messaging Address nvasquez473256@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308001013 CA Practitioner - Family Practice 7113109463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2701 Ocean Park Blvd
Suite 118
Santa Monica, CA 90405-5219
Phone (310) 829-8917

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68556CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Santa Monica Bay Area Physicians Family Medicine Past Accepting new patients

Locations

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

881 Alma Real Dr
Ste 316
Pacific Plsds, CA 90272
Phone (310) 454-1317

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

1831 Wilshire Blvd
Ste B
Santa Monica, CA 90403
Phone (310) 400-5565

2701 Ocean Park Blvd
Ste 118
Santa Monica, CA 90405
Phone (310) 399-1885

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nvasquez473256@oc.providencedirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1447296645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 118",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055219",
            "telephone_number": "310-829-8917",
            "fax_number": "424-212-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OCEAN PARK BLVD STE 118",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055219",
            "telephone_number": "310-829-8917",
            "fax_number": "424-212-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "NORA",
        "middle_name": "PAULINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G68556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvasquez473256@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "881 Alma Real Dr Ste 316",
            "city": "Pacific Palisades",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902725061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvasquez473256@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2701 Ocean Park Blvd Ste 118",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904055219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvasquez473256@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1831 Wilshire Blvd Ste B",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.