Active NPI
Angelina F. Vasquez, RDA AS
- Dental Assistant
- Moreno Valley, CA
National Provider Identifier
1518593565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 48131
- Practice address
- 25411 Hawkwood TRL
Moreno Valley, CA 92557-7543 - Phone
- (951) 378-6123
- NPI assigned
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 48131 | CA | Primary |
Addresses
Primary practice location
25411 Hawkwood TRL
Moreno Valley, CA 92557-7543
Mailing address
25411 Hawkwood TRL
Moreno Valley, CA 92557-7543
Phone (951) 378-6123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Ngbgmini@aol.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48131 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1518593565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25411 HAWKWOOD TRL",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925577543",
"telephone_number": "951-378-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25411 HAWKWOOD TRL",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925577543",
"telephone_number": "951-378-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ANGELINA",
"middle_name": "F.",
"name_prefix": "Ms.",
"credential": "RDA AS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "48131",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Ngbgmini@aol.com",
"affiliation": "N",
"endpointDescription": "Direct",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Phi",
"address_1": "25411 Hawkwood Trl",
"city": "Moreno Valley",
"state": "CA",
"country_code": "US",
"postal_code": "925577543",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.