Active NPI
William Frederick Vazquez II
- Case Manager/Care Coordinator
- Campbell, CA
National Provider Identifier
1871655928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 999 West Hamilton Avenue
Apt. 5
Campbell, CA 95008-0426 - Phone
- (408) 846-2100
- NPI assigned
- Dec 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Driver | 172A00000X | C3680480 | CA |
Addresses
Primary practice location
999 West Hamilton Avenue
Apt. 5
Campbell, CA 95008-0426
Mailing address
999 West Hamilton Avenue
Apt. 5
Campbell, CA 95008-0426
Phone (408) 846-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2240-ID04-01-02 | Other | ID | EVANGEL MINISTERIAL ASSOCIATION INC. / MINISTERIAL ORDINATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3680480 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1871655928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 WEST HAMILTON AVENUE",
"address_2": "APT. 5",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080426",
"telephone_number": "408-846-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 WEST HAMILTON AVENUE",
"address_2": "APT. 5",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950080426",
"telephone_number": "408-846-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "WILLIAM",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "C3680480",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVANGEL MINISTERIAL ASSOCIATION INC. / MINISTERIAL ORDINATION",
"identifier": "2240-ID04-01-02",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.