Ernie Vazquez-White, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19472 Issued in PR

Practice address

34800 Bob Wilson Dr San Diego Ca 92134
San Diego, CA 92134-0001

Phone

(787) 223-0082

NPI assigned

Sep 12, 2011

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

Other names 1

• Dr. Ernie Vazquez White Professional name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982986394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "787-223-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR SAN DIEGO CA 92134",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "787-223-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND",
            "address_purpose": "LOCATION",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "787-223-0082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND",
            "address_purpose": "LOCATION",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "787-223-0082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ-WHITE",
        "first_name": "ERNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "19472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982986394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNIE",
            "last_name": "WHITE",
            "middle_name": "VAZQUEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cristina Michelle Vazquez Rondero
• Jessica Vanessa Vazquez Tames
• Maria De Jesus Vazquez-Campos, MD
• Martha Vazquez-Erlbeck, FNP
• Angel F. Vazquez-Murillo, RN
• Aime Vazquez I
• Alejandra Vazquez
• Alejandra Vazquez
• Amber Vazquez
• Angel Daniel Vazquez Jr., RN

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.