Active NPI
Edgar Alfonso Vasquez, SUDCC
- Counselor
- Fairfield, CA
National Provider Identifier
1851208607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 13378
- Practice address
- 1095 E Tabor Ave
Fairfield, CA 94533-4190 - Phone
- (707) 399-9190
- NPI assigned
- Aug 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13378 | CA | Primary |
Addresses
Primary practice location
1095 E Tabor Ave
Fairfield, CA 94533-4190
Mailing address
609 Jefferson St
Fairfield, CA 94533-6293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1851208607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 JEFFERSON ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 E TABOR AVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334190",
"telephone_number": "707-399-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "EDGAR",
"middle_name": "ALFONSO",
"credential": "SUDCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "13378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.