Mirely Margarita Vasquez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

621073516 Issued in CA

Practice address

1400 Parkmoor Ave Ste 115
San Jose, CA 95126-3797

Phone

(408) 971-9822

Fax

(408) 971-9822

NPI assigned

Mar 16, 2011

Last updated

Jan 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Larimar Marriage and Family Child Therapy

  dba Larimar MFT

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1659210680
  NPD Authorized official

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1518266584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PARKMOOR AVE STE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKMOOR AVE STE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263797",
            "telephone_number": "408-971-9822",
            "fax_number": "408-971-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1885 Lundy Ave",
            "address_2": "Suite 223",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951311887",
            "country_code": "US",
            "telephone_number": "408-284-9000",
            "fax_number": "408-284-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MIRELY",
        "middle_name": "MARGARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "621073516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Vasquez
• Lydia Gerardita Vasquez
• Maria Lina Vasquez
• Mariah Vasquez
• Marisela Vasquez
• Perla Marlene Vasquez
• Rebecca Vasquez
• Ricardo Vasquez
• Vanessa Vasquez
• Natalia Vassilieva, PTA

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.