Miguel Vasquez MD Ann Carroll MD a Prof Corp

Organization Active NPI Internal Medicine Physician · Freedom, CA

NPI 1629136965 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1629136965
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
G38080 (CA)
Legal business name
MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP
Practice address
243 Green Valley Rd
Suite a
Freedom, CA 95019
Phone
(831) 728-4595
Fax
(831) 728-4598
NPI assigned
Dec 5, 2006
Organization subpart
No

Authorized official

Name
Miguel Vasquez, MD
Title
President
Phone
(831) 728-4595

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X G38080 CA Yes
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X A33076 CA

Addresses

Primary practice location

243 Green Valley Rd
Suite a
Freedom, CA 95019

Mailing address

243 Green Valley Rd
Suite a
Freedom, CA 95019

Other providers in Freedom, CA

All providers in Freedom, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.