Individual provider Active NPI

Juan C Vasquez, MD

  • Surgery Physician
  • Saint Helena, CA
National Provider Identifier
1477593713
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C192531 Issued in CA
Practice address
6 Woodland Rd Ste 101
Saint Helena, CA 94574-9501
Phone
(707) 963-6111
NPI assigned
Jun 7, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5181591-1205 UT
Surgery Physician 208600000X T3208 TX
Surgery Physician 208600000X MD153200 OR
Surgery Physician 208600000X C192531 CA Primary

Addresses

Primary practice location

6 Woodland Rd Ste 101
Saint Helena, CA 94574-9501

Mailing address

6 Woodland Rd Ste 101
Saint Helena, CA 94574-9501
Phone (707) 963-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080715000528 UT Practitioner - General Surgery 5092800375 Reassigns benefits to 1 organization
I20230310001943 WA Practitioner - General Surgery 5092800375 Reassigns benefits to 1 organization
I20240227004530 CA Practitioner - General Surgery 5092800375 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Utah School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 967-5721

913 Washington St
Calistoga, CA 94515-1433

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy115
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Coronary artery bypass graft (CABG)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux97
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00620NCMDNeurology Physician
C192531CAMDSurgery Physician
MD153200ORMDSurgery Physician
5181591-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 1, 2024 Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Nov 1, 2022 Accepting new patients
St. Helena Hospital Current Accepting new patients
Ashley Valley Physician Practice, LLC CurrentSince Nov 1, 2022 Accepting new patients
Ashley Valley Physician Practice, LLC Current Accepting new patients
RCCH Trios Health LLC CurrentSince Mar 24, 2023 Accepting new patients
St. Helena Hospital CurrentSince Jan 30, 2024 Accepting new patients
Colorado Medical Group, PLLC Surgery PastSince Oct 1, 2020 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

1100 Trancas St
Ste 250
Napa, CA 94558
Phone (707) 253-1135

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

6 Woodland Rd
Ste 101
Saint Helena, CA 94574
Phone (707) 963-5236

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

150 W 100 N
Ste 102S
Vernal, UT 84078
Phone (435) 781-2161

150 W 100 N
Ste S102
Vernal, UT 84078
Phone (435) 789-1522

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1477593713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 101",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501",
            "telephone_number": "707-963-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD STE 101",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501",
            "telephone_number": "707-963-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "5181591-1205",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T3208",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD153200",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C192531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.