Emil Florendo Vasquez, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

21993 Issued in CA

Practice address

9119 Haskell Ave
North Hills, CA 91343

Phone

(818) 763-8836

Fax

(818) 221-4747

NPI assigned

Nov 17, 2011

Sex

Male

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

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Valley Community Healthcare

  • Voluntary or Charitable Agency
  • North Hollywood, CA
  • NPI 1588740989
  Medicare reassignment NPD

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1790052819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433121",
            "telephone_number": "818-763-8836",
            "fax_number": "818-221-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-763-8836",
            "fax_number": "818-221-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 Haskell Ave",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "91343",
            "country_code": "US",
            "telephone_number": "818-763-8836 x1191",
            "fax_number": "818-221-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9043 Woodman Ave",
            "address_purpose": "LOCATION",
            "city": "Arleta",
            "state": "CA",
            "postal_code": "913316492",
            "country_code": "US",
            "telephone_number": "818-221-3103",
            "fax_number": "818-221-3098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Coldwater Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916055162",
            "country_code": "US",
            "telephone_number": "818-763-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "EMIL",
        "middle_name": "FLORENDO",
        "name_prefix": "Mr.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valor Academy Elementary School
• Valor Academy High School
• Michelle Vannoy, MPT
• Arpine Vardumyan, LCSW
• Robin Kurian Varghese
• Ronald Vasquez, DA
• Windy Vasquez
• Cristina Vega
• Ileana Vela
• Gabriela Velasco

• Physician Assistant in North Hills, CA
• Providers in North Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.