Jennifer Aguirre Vazquez

Individual provider Active NPI Registered Nurse · Escondido, CA

NPI 1659007359 · NPPES record last updated Jan 14, 2025

Key facts

NPI
1659007359
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95385103 (CA)
Practice address
490 N Grape St
Escondido, CA 92025-3079
Phone
(760) 975-9939
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95385103CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc Past
since Jan 19, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95385103 CA Yes

Addresses

Primary practice location

490 N Grape St
Escondido, CA 92025-3079

Mailing address

490 N Grape St
Escondido, CA 92025-3079

Other providers in Escondido, CA

All providers in Escondido, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.