Alicia Nicole Vazquez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

10201 Mission Gorge Rd Ste O
Santee, CA 92071-3040

Phone

(619) 383-6868

Fax

(619) 330-2760

NPI assigned

Feb 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1700419959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD STE O",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713040",
            "telephone_number": "619-383-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MISSION GORGE RD STE O",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713040",
            "telephone_number": "619-383-6868",
            "fax_number": "619-330-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Marie Valasco, FNP
• Amber Ann Valencia-Campbell, D.C.
• Matthew Van Noort
• Crissa Vasquez, PPS
• Vaziri Care, Inc. (BrightStar Care of Carmel Valley & Rancho Santa Fe)
• Axel Alfonso Vega Rodriguez
• Nicole Marie Vicino, OTR/L
• Ariana Villafana
• Grace Anne Villalobos, CF-SLP
• Samantha Carmella Villanueva, RN

• Peer Specialist in Santee, CA
• Providers in Santee, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.