Naren Vasudevan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20545 Issued in CA

Practice address

7300 Magnolia Ave
Riverside, CA 92504-3810

Phone

(951) 710-1030

Fax

(951) 710-1040

NPI assigned

Oct 14, 2010

Last updated

Oct 14, 2010By the provider in NPPES

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

Other identifiers 1

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

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7705/brand/1/csg/1/fhir/r4
• Direct secure messaging: naren.vasudevan.1@7705.direct.athenahealth.com
• Direct secure messaging: nvasudevan@direct-address.org

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.

• Barstow Primary Care Clinic

  • Internal Medicine Physician
  • Barstow, CA
  • NPI 1871904656
  Medicare reassignment NPD (past)
• Baldwin Park Medical Center, Inc.

  • Family Medicine Physician
  • Baldwin Park, CA
  • NPI 1528345915

  Physician Assistant

  NPD (past)
• Central Occupational Medicine Providers Ontario Inc

  • Occupational Medicine Clinic/Center
  • Riverside, CA
  • NPI 1972861797
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1841500626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043810",
            "telephone_number": "951-710-1030",
            "fax_number": "951-710-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043810",
            "telephone_number": "951-710-1030",
            "fax_number": "951-710-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "NAREN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA20545",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salvador Vasquez
• Silvia Vasquez
• Stephanie Vasquez
• Stephanie Nicole Vasquez, FNP-C
• Veronica Vasquez
• Alexis Vaughn
• Alicia Marie Vaughn, CMT
• Bertha Vaughn, AMFT, APCC
• Fleasha S Vaughn
• Gustavo Vazquez Gonzalez, DDS

• Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.