Active NPI
Miguel Vasquez MD Ann Carroll MD a Prof Corp
- Internal Medicine Physician
- Freedom, CA
National Provider Identifier
1629136965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G38080
- 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
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel Vasquez, MD
- Title
- President
- Phone
- (831) 728-4595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G38080 | CA | Primary |
| Cardiovascular Disease Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Freedom, CA
- NPI 1255447041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1629136965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 GREEN VALLEY RD",
"address_2": "SUITE A",
"city": "FREEDOM",
"state": "CA",
"postal_code": "95019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 GREEN VALLEY RD",
"address_2": "SUITE A",
"city": "FREEDOM",
"state": "CA",
"postal_code": "95019",
"telephone_number": "831-728-4595",
"fax_number": "831-728-4598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "VASQUEZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-728-4595",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G38080",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A33076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freedom, CA
- Marc L Grossman DDS James B Smith DDS Apc
- Margaret Khouri, M.D., P.C. (Margaret Khouri, M.D.)
- Maria Sembrano Granthom, M.D. Inc.
- Marylou Romo-Gritzewsky
- Bradford David Matiasevich, D.D.S.
- Mojdeh Faraz DDS Inc
- Angela Molina, MD
- Monterey Bay Imaging Center
- Monterey Bay Urology Associates
- Atletli Venicia Morales
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.