Andrea Vazquez Cornelio

Primary specialty

PharmacistTaxonomy code 183500000X

License

64165 Issued in CA

Practice address

200 South Wells Rd.
Ventura, CA 93007

Phone

(805) 659-1740

NPI assigned

Jun 17, 2011

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

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1558656587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36218 MAGELLAN DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH WELLS RD.",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93007",
            "telephone_number": "805-659-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIO",
        "first_name": "ANDREA",
        "middle_name": "VAZQUEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Coppola
• Krista Jaylene Cordova
• Marissa Monique Cordova
• Core Integration Physical Therapy
• Victoria Rae Cornall
• Angelia Cornelius
• William Cornell
• Christopher Robin Cornett, PA-C
• Gordon Warden Cornett, D.D.S.
• Anissa Corona-Aguilar

• Pharmacist in Ventura, CA
• Providers in Ventura, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.