Brian Vasquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124776 Issued in CA

Practice address

8875 Aero Dr
San Diego, CA 92123-2251

Phone

(619) 680-1768

NPI assigned

Dec 17, 2024

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1508673021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9528 MIRAMAR RD # 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 AERO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232251",
            "telephone_number": "619-680-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "BRIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berenice Vasquez Villagomez, AMFT
• Jocelyn Vasquez-Mota, LCSW
• Alejandra Vasquez
• Alfreda Vasquez, PHYSICAL THERAPIST P
• Araceli Anabel Vasquez
• Brittany Marie Vasquez
• Candie Vasquez
• Christopher Vasquez
• Dominque Nicole Vasquez
• Eileen Vasquez

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Dec 17, 2024; 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.