Juan C Vasquez, MD
Individual provider Active NPI Surgery Physician · Saint Helena, CA
NPI 1477593713 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1477593713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- C192531 (CA)
- Practice address
- 6 Woodland Rd Ste 101
Saint Helena, CA 94574-9501 - Phone
- (707) 963-6111
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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
- Adventist Health Physicians Network
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
- Adventist Health St Helena
- Adventist Health Clearlake
- Adventist Health Howard Memorial
- Adventist Health Mendocino Coast
- Providence Queen of the Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 115 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Coronary artery bypass graft (CABG) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 97 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in UT, WA, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00620 | NC | MD | Neurology Physician |
| C192531 | CA | MD | Surgery Physician |
| MD153200 | OR | MD | Surgery Physician |
| T3208 | TX | MD | Surgery Physician |
| 5181591-1205 | UT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Current |
Accepting new patients | |
| St. Helena Hospital | Current | Accepting new patients | |
| Ashley Valley Physician Practice LLC | Current |
Accepting new patients | |
| RCCH Trios Health LLC | Current |
Accepting new patients | |
| St. Helena Hospital | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Current | Accepting new patients | |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients | |
| Colorado Medical Group, PLLC | Surgery | 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) 963-2002
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
175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053
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
3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5181591-1205 | UT | |
| Surgery Physician | 208600000X | T3208 | TX | |
| Surgery Physician | 208600000X | MD153200 | OR | |
| Surgery Physician | 208600000X | C192531 | CA | Yes |
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
Other providers in Saint Helena, CA
- Up Valley Pediatric Dentistry
- Up-Valley Medi-Cal
- Valley Radiological Associates Medical Group, Inc.
- Vasconi Drugs
- Mario Louis Vasconi
- Rachael Noel Vasquez
- Lori Ann Vrabel
- Amy E Wallace
- Mary K. Walter
- Ako M Walther
All providers in Saint Helena, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.