Active NPI
Remedios S. Vasquez
- Assisted Living Facility
- Hesperia, CA
National Provider Identifier
1457659732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 366423793
- Practice address
- 18245 Cherry St
Hesperia, CA 92345-5519 - Phone
- (760) 947-2099
- Fax
- (760) 947-2099
- NPI assigned
- Mar 10, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 366423793 | CA | Primary |
Addresses
Primary practice location
18245 Cherry St
Hesperia, CA 92345-5519
Mailing address
18245 Cherry St
Hesperia, CA 92345-5519
Phone (760) 947-2099
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 |
|---|---|---|---|
| 366423793 | CA | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1457659732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18245 CHERRY ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923455519",
"telephone_number": "760-947-2099",
"fax_number": "760-947-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18245 CHERRY ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923455519",
"telephone_number": "760-947-2099",
"fax_number": "760-947-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "REMEDIOS",
"middle_name": "S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "366423793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.