NPIMap

Individual provider Active NPI

Jon J. Vasquez, M.D.

  • Emergency Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1811949258
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30428 Issued in AZ
Practice address
70 S Val Vista Dr Ste A3-621
Gilbert, AZ 85296-1374
Phone
(480) 347-4648
Fax
(833) 336-6898
NPI assigned
May 16, 2006
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30428 AZ Primary

Addresses

Primary practice location

70 S Val Vista Dr Ste A3-621
Gilbert, AZ 85296-1374

Mailing address

PO Box 2710
Scottsdale, AZ 85252-2710
Phone (480) 882-6359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000544 AZ Practitioner - Emergency Medicine 8022020759 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceptional Physicians Group Yuma Hospital PLLCGroup PAC ID 3173983186, 21 clinicians
Exceptional Physicians Group Eloy Hospital PLLCGroup PAC ID 4183114861, 4 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

2648 S Araby Rd
Yuma, AZ 85365-7236
Phone 4693417800100

340 E Milligan Rd
Eloy, AZ 85131-0075
Phone (436) 341-7800

4760 E Germann Rd
Gilbert, AZ 85297-0205
Phone (888) 732-3317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30428AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Yuma Hospital PLLC Emergency Medicine CurrentSince Sep 19, 2024 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Aug 13, 2020 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Sep 19, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Sep 19, 2024 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Apr 4, 2025 Accepting new patients
Exceptional Physicians Group Eloy Hospital PLLC Emergency Medicine CurrentSince Oct 24, 2025 Accepting new patients
Ehc Eloy LLC PastSince Aug 1, 2025 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

340 E Milligan Rd
Eloy, AZ 85131
Phone (436) 341-7800

4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 10

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1811949258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852522710",
            "telephone_number": "480-882-6359",
            "fax_number": "480-882-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-621",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961374",
            "telephone_number": "480-347-4648",
            "fax_number": "833-336-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "30428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.