Individual provider Active NPI

Linda A Vasquez, PA-C

  • Physician Assistant
  • Templeton, CA
National Provider Identifier
1679713762
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 202329 Issued in CA
Practice address
265 Posada LN
Suite D
Templeton, CA 93465-4056
Phone
(805) 434-0770
Fax
(805) 434-5124
NPI assigned
Mar 2, 2009
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 202329 CA Primary

Addresses

Primary practice location

265 Posada LN
Suite D
Templeton, CA 93465-4056

Mailing address

265 Posada LN
Suite D
Templeton, CA 93465-4056
Phone (805) 434-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000675 CA Practitioner - Physician Assistant 0840320313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Coastal Communities Physician Network IncGroup PAC ID 1951614775, 3 clinicians

Practice addresses (Care Compare)

35 Casa St
Suite 170
San Luis Obispo, CA 93405-1887
Phone (805) 540-5035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 202329CAMDPhysician Assistant
20239CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc Past Accepting new patients
Templeton Institute for Neurology Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: linda.vasquez.p1@direct.bfmc.nextgenshare.com
  • Direct secure messaging: linda.vasquez.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1679713762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POSADA LN",
            "address_2": "SUITE D",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654056",
            "telephone_number": "805-434-0770",
            "fax_number": "805-434-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POSADA LN",
            "address_2": "SUITE D",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654056",
            "telephone_number": "805-434-0770",
            "fax_number": "805-434-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 202329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.