Vasti Eunice Mezquita, BACHELOR

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251S00000X Issued in CA

Practice address

13130 Burbank Blvd
Sherman Oaks, CA 91401

Phone

(818) 779-5190

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vasti Eunice Ayala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1942563523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 ARROYO LN APT I-305",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930637632",
            "telephone_number": "805-791-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13130 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91401",
            "telephone_number": "818-779-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZQUITA",
        "first_name": "VASTI",
        "middle_name": "EUNICE",
        "credential": "BACHELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VASTI",
            "last_name": "AYALA",
            "middle_name": "EUNICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.