Lawrence Conrad Vasquez, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6626 Issued in CA

Practice address

11371 Pyramid Peak CT
Rancho Cucamonga, CA 91737-6562

Phone

(909) 260-7289

NPI assigned

Dec 20, 2013

Sex

Male

Sole proprietor

Yes

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1689095499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11371 PYRAMID PEAK CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376562",
            "telephone_number": "909-260-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11371 PYRAMID PEAK CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376562",
            "telephone_number": "909-260-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LAWRENCE",
        "middle_name": "CONRAD",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "6626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Aurora Vasquez
• Alyssa Vasquez
• Gabriela Vasquez
• George Vasquez
• Heilley Vasquez
• Vanessa Michele Vasquez
• Vatsal Haren Mody M.D. Inc.
• Annie Lizette Vazquez
• Kristi Yvette Vazquez
• Marc Vazquez

• Mental Health Counselor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.