Organization Active NPI

Julio N Vasquez MD Inc. a Professional Corporation

Doing business as Julio Vasquez Medical Clinic

  • Family Medicine Physician
  • Northridge, CA
National Provider Identifier
1467612820
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45461 Issued in CA
Legal business name
JULIO N VASQUEZ MD INC. A PROFESSIONAL CORPORATION
Doing business as
Julio Vasquez Medical Clinic
Practice address
8540 Reseda Blvd
Suite 240
Northridge, CA 91324-6142
Phone
(818) 772-7023
Fax
(818) 772-7020
NPI assigned
Jun 10, 2008
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Julio N Vasquez, MDNPI 1639262561
Title
President
Phone
(818) 772-7023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Family Medicine Physician 207Q00000X A45461 CA Primary

Addresses

Primary practice location

8540 Reseda Blvd
Suite 240
Northridge, CA 91324-6142

Mailing address

8540 Reseda Blvd
Suite 240
Northridge, CA 91324-6142
Phone (818) 772-7023

Other names 1

  • Julio Vasquez Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090409000103 CA Part B Supplier - Clinic/Group Practice 8123175155 Receives reassigned benefits from 1 practitioner
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

8540 Reseda Blvd
#240
Northridge, CA 91324
Phone (818) 336-1006

8540 Reseda Blvd
Ste 240
Northridge, CA 91324
Phone (818) 772-7023

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1467612820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 RESEDA BLVD",
            "address_2": "SUITE 240",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246142",
            "telephone_number": "818-772-7023",
            "fax_number": "818-772-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 RESEDA BLVD",
            "address_2": "SUITE 240",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246142",
            "telephone_number": "818-772-7023",
            "fax_number": "818-772-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO N VASQUEZ MD INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-772-7023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julio Vasquez Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.