David Lionel Vazquez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-31289 Issued in CA

Practice address

4211 Broad St
Ste. D
San Luis Obispo, CA 93401-7914

Phone

(805) 782-9203

NPI assigned

Mar 10, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1487952636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 BROAD ST",
            "address_2": "STE. D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017914",
            "telephone_number": "805-782-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 BROAD ST",
            "address_2": "STE. D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017914",
            "telephone_number": "805-782-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "DAVID",
        "middle_name": "LIONEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31289",
            "primary": true
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "CA",
            "license": "DC-31289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Vasquez
• Angela Adele Vasta, RN, PHN
• Pravir R Vatsa, MD
• Ann Marie Vaughn
• Vanessa Vazquez-Jones
• Julia Crystal Veen, DO
• Irene E. Vega, RN, PHN
• Moncela Velasco
• Maria Velazquez
• Thomas R Vendegna, M.D

• Chiropractor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.