Individual provider Active NPI

Maria Adelaida Vazquez

  • Social Worker
  • Costa Mesa, CA
National Provider Identifier
1962037259
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108826 Issued in CA
Practice address
250 Joann St
Costa Mesa, CA 92626-6455
Phone
(949) 631-9041
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108826 CA Primary

Addresses

Primary practice location

250 Joann St
Costa Mesa, CA 92626-6455

Mailing address

400 N Tustin Ave Ste 120
Santa Ana, CA 92705-3879

Other practice location 1

1691 Gramercy Ave
Torrance, CA 90501-3236
Phone (310) 834-1198

Other practice location 2

537 W 8th St
San Pedro, CA 90731-3119
Phone (310) 834-1198

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

LicenseStateTypeSpecialty
108826CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite of Passage Adolescent Treatment Centers and Schools, Inc. PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1962037259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 JOANN ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266455",
            "telephone_number": "949-631-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1691 Gramercy Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013236",
            "country_code": "US",
            "telephone_number": "310-834-1198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "537 W 8th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313119",
            "country_code": "US",
            "telephone_number": "310-834-1198",
            "fax_number": "310-518-5963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "MARIA",
        "middle_name": "ADELAIDA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "108826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.