Individual provider Active NPI

Andrea Vasquez, NP

  • Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1700341427
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011089 Issued in CA
Practice address
12898 Towne Center Dr
Cerritos, CA 90703-8546
Phone
(562) 641-3215
NPI assigned
Feb 6, 2019
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011089 CA Primary

Addresses

Primary practice location

12898 Towne Center Dr
Cerritos, CA 90703-8546

Mailing address

520 Kinley St
La Habra, CA 90631-4317
Phone (562) 641-3215

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
I20230201001496 CA Practitioner - Nurse Practitioner 2062883945 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011089CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Dec 27, 2022 Accepting new patients
Jessica Wong Nurse Practitioner Nurse Practitioner CurrentSince Jun 14, 2024 Accepting new patients
Carelon Medical Partners, PC Nurse Practitioner PastSince Dec 18, 2022 Accepting new patients
Caremore Health Medical Partners, PC PastSince Dec 18, 2022 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

15024 Imperial Hwy
La Mirada, CA 90638
Phone (714) 420-5268

14525 Valley View Ave
Ste E
Santa Fe Springs, CA 90670
Phone (714) 420-5268

Organizations & group practices 4

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1700341427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 KINLEY ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314317",
            "telephone_number": "562-641-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12898 TOWNE CENTER DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038546",
            "telephone_number": "562-641-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.