Active NPI
Martin Vazquez
- Community Health Worker
- Cerritos, CA
National Provider Identifier
1841749298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 17707 Studebaker Rd
Cerritos, CA 90703-2640 - Phone
- (562) 402-0688
- NPI assigned
- Sep 27, 2016
- Last updated
- May 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
17707 Studebaker Rd
Cerritos, CA 90703-2640
Mailing address
1457 W Summit St
Long Beach, CA 90810-4152
Phone (562) 331-1682
Other practice location 1
6330 Rugby Ave Ste 200
Huntington Park, CA 90255-6938
Phone (323) 826-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1930A | Other | CA | MEDI-CAL |
| 7929A | Other | CA | MEDI-CAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1841749298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 W SUMMIT ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908104152",
"telephone_number": "562-331-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17707 STUDEBAKER RD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032640",
"telephone_number": "562-402-0688"
}
],
"practiceLocations": [
{
"address_1": "6330 Rugby Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902556938",
"country_code": "US",
"telephone_number": "323-826-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-27",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1930A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7929A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.