Vanessa Vazquez Vidal, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95027685 Issued in CA

Practice address

121 W Sierra St
Kingsburg, CA 93631-1756

Phone

(559) 326-5320

NPI assigned

Oct 18, 2023

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Achievements Unlimited Clinical Psychology Services, Inc.

  dba Achievements Unlimited, Inc/MindDivers

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1972953875
  Medicare reassignment NPD
• Erick Madrigal, MD, Mba, Inc.

  dba Living Water Community Health & Wellness Clinic

  • Family Medicine Physician
  • Porterville, CA
  • NPI 1609124692
  Medicare reassignment NPD
• Erick Madrigal MD Mba Inc

  • Rural Health Clinic/Center
  • Lindsay, CA
  • NPI 1295544682
  NPD
• Mindcure, Inc

  • Community/Behavioral Health Agency
  • Clovis, CA
  • NPI 1467993493
  NPD
• Valley Health Team Inc

  dba Kingsburg Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kingsburg, CA
  • NPI 1033598412
  NPD
• Valley Health Team, Inc

  dba Bishop Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bishop, CA
  • NPI 1508465303
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1720860406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 N TRACY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222571",
            "telephone_number": "559-307-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W SIERRA ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311756",
            "telephone_number": "559-326-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ VIDAL",
        "first_name": "VANESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce A Trevino, MD
• Tri County Family Medical Clinic
• United Health Centers of the San Joaquin Valley
• Valley Health Team Inc (Kingsburg Community Health Center)
• Valley Health Team Inc (Kings River Union Elementary School District Behavioral Health Center)
• Jonathan Manuel Velasquez
• Wendy Velasquez
• Samantha Venegas
• Deborah Marie Villa
• Kamaria Skye Villarreal

• Psychiatric/Mental Health Nurse Practitioner in Kingsburg, CA
• Providers in Kingsburg, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.