Individual provider Active NPI

Vanessa Obedoza Caguioa

  • Pharmacist
  • Chula Vista, CA
National Provider Identifier
1811215080
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 62631 Issued in CA
Practice address
507 Telegraph Canyon Rd
Chula Vista, CA 91910-6436
Phone
(619) 421-2988
Fax
(619) 421-8979
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 62631 CA Primary

Addresses

Primary practice location

507 Telegraph Canyon Rd
Chula Vista, CA 91910-6436

Mailing address

507 Telegraph Canyon Rd
Chula Vista, CA 91910-6436
Phone (619) 421-2988

Other names 1

  • Vanessa Fajardo Obedoza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH 62631CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1811215080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-421-2988",
            "fax_number": "619-421-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-421-2988",
            "fax_number": "619-421-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGUIOA",
        "first_name": "VANESSA",
        "middle_name": "OBEDOZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 62631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "OBEDOZA",
            "middle_name": "FAJARDO",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.