Individual provider Active NPI

Nancy Abellera Vazquez

  • Clinical Psychologist
  • Hollister, CA
National Provider Identifier
1700092053
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY36390 Issued in CA
Practice address
1131 Community Pkwy
Hollister, CA 95023-2816
Phone
(831) 636-4020
Fax
(831) 636-4025
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY36390 CA Primary

Addresses

Primary practice location

1131 Community Pkwy
Hollister, CA 95023-2816

Mailing address

1131 Community Pkwy
Hollister, CA 95023-2816
Phone (831) 636-4020

Other names 1

  • Nancy Abellera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1131 Community Pkwy
Hollister, CA 95023-2816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY36390CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
San Benito County CurrentSince Sep 8, 2025 Accepting new patients
County of San Benito Behavioral Health CurrentSince Sep 8, 2025 Accepting new patients

Locations

1131 Community Pkwy
Hollister, CA 95023
Phone (831) 636-4020

1131 San Felipe Rd
Hollister, CA 95023
Phone (831) 636-4020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1700092053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 COMMUNITY PKWY",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232816",
            "telephone_number": "831-636-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 COMMUNITY PKWY",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232816",
            "telephone_number": "831-636-4020",
            "fax_number": "831-636-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "NANCY",
        "middle_name": "ABELLERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY36390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ABELLERA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.