JORGE VASQUEZ CADC-I NPI 1134644115

NPI Information

NPI: 1134644115
Provider Name: JORGE VASQUEZ, CADC-I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
222 W HOSPITALITY LN
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 421-4601
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Jorge Vasquez, CADC-I is an addiction (substance use disorder) counselor in San Bernardino, CA. Jorge Vasquez, CADC-I NPI is 1134644115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 W HOSPITALITY LN
SAN BERNARDINO, CA
ZIP 92415-536
Phone: (909) 421-4601

The enumeration date for this NPI number is 8/10/2017 and was last updated on 1/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CICA01850919	CALIFORNIA	Yes
2	171M00000X	Case Manager/Care Coordinator				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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