Guadalupe Mendoza Vazquez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95582 Issued in CA

Practice address

18221 E 17TH St
Santa Ana, CA 92705-2676

Phone

(714) 730-0930

NPI assigned

Sep 26, 2013

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1487081170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13621 YOCKEY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442617",
            "telephone_number": "714-379-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052676",
            "telephone_number": "714-730-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 w. 5th st., ste 550",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "USA",
            "postal_code": "92701",
            "country_code": "UM",
            "telephone_number": "714-399-3480",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "GUADALUPE",
        "middle_name": "MENDOZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Vazquez
• Alondra Vazquez
• Deana Vazquez, ABAT
• Fatima Gloria Vazquez
• Grecia McKenzie Vazquez, MA
• Luisa Estrella Vazquez
• Melanny Vazquez
• Miriam M Vazquez
• Moises Vazquez
• Narani Vazquez

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.