Angel Jose De Leon Vaca, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A90351 Issued in CA

Practice address

6969 Brockton Ave
# B
Riverside, CA 92506-3813

Phone

(951) 686-3575

NPI assigned

Feb 26, 2007

Last updated

Nov 10, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesia Medical Group of Riverside, Inc

  • Anesthesiology Physician
  • Riverside, CA
  • NPI 1669407839
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194652800000",
    "number": "1881720639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 CHERRYLAUREL AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536918",
            "telephone_number": "951-653-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 BROCKTON AVE",
            "address_2": "# B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063813",
            "telephone_number": "951-686-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACA",
        "first_name": "ANGEL JOSE",
        "middle_name": "DE LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A90351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A903510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beyonce Utley
• Chaiti Utley, FNP-C
• Oscar Luis Uvillus Legarda
• Girlie Aquino Uy, DDS
• Michelle Uzowuru
• Monica Vaca
• Tara Vace
• Janet Vadaparampil, MD
• Govardhanachary Vadla
• Venkatram Vadlamudi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.