Vicente Vazquez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A173455 Issued in CA

Practice address

3634 Elizabeth St
Riverside, CA 92506-2506

Phone

(951) 788-0008

NPI assigned

Jul 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optima Health Corp 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Arrowhead Home Healthcare, LLC Home health agency, Lake Arrowhead, CA, CCN 553182
• A-Quest Health Care, Inc Home health agency, Riverside, CA, CCN 059563
• American Eagle Home Health Care, Inc. Home health agency, Pasadena, CA, CCN 753169
• Mountains Community Hospital Hospital, Lake Arrowhead, CA, CCN 051312
• Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEGFAD

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.

• Optima Health Corp

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1245892066

  CA

  Medicare reassignment Care Compare group NPD
• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  NPD (past)
• Walter D Bramson MD a Professional Corporation

  • Clinic/Center
  • Crestline, CA
  • NPI 1700216488
  NPD (past)

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

• A-Quest Health Care, Inc.

  • Home Health Agency
  • West Covina, CA
  • NPI 1003180019
  Care Compare affiliation
• American Eagle Home Health Care, Inc.

  • Home Health Agency
  • Pasadena, CA
  • NPI 1720667835
  Care Compare affiliation
• Lake Arrowhead Home Health Care, LLC

  • Home Health Agency
  • Lake Arrowhead, CA
  • NPI 1013463306
  Care Compare affiliation
• Riverside Healthcare System, L.P.

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1114971660

  Hospital

  Care Compare affiliation
• San Bernardino Mountains Community Hospital District

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1861978371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 VASQUEZ PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075734",
            "telephone_number": "626-201-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062506",
            "telephone_number": "951-788-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "VICENTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A173455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Vazquez, CPSS
• Michelle Vazquez
• Noemi Fabiola Vazquez, MD
• Norma Vazquez, D.D.S.
• Veola E. Vazquez, PHD
• VB Homes, Inc
• Maria Vega-Cruz
• Alexis Vega
• Amaryllis Vega
• Blanca Vega

• All providers in Riverside, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.