Ricky S Onofre-Vasquez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

AO48136 Issued in CA

Practice address

12099 W Washington Blvd Ste 202
Los Angeles, CA 90066-5882

Phone

(310) 572-6225

Fax

(310) 572-1267

NPI assigned

Feb 3, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1750353892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 AKRON ST",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722308",
            "telephone_number": "310-454-6948",
            "fax_number": "310-454-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665882",
            "telephone_number": "310-572-6225",
            "fax_number": "310-572-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOFRE-VASQUEZ",
        "first_name": "RICKY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "AO48136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ono
• Megan Ono, M.S. OTR/L
• Scott Daniel Onoda, D.C.
• Alexander Onodugo
• Luis Alfonso Onofre Martinez
• Andrea Onofre
• Obinna Ononiba
• Kaori Onozuka
• Onpointe Home Health Providers, Inc.
• Leonard Tiger Onsen

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.