VICTOR ELI VASQUEZ PA-C NPI 1972217446

NPI Information

  • NPI: 1972217446
  • Provider Name: VICTOR ELI VASQUEZ, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 580 COTTAGE GROVE RD STE 107
    BLOOMFIELD, CT
    ZIP 06002
  • Phone: (860) 243-8709

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NPI Details

Victor Eli Vasquez, PA-C is a medical physician assistant in Bloomfield, CT with 4 years of experience. Victor Eli Vasquez, PA-C NPI is 1972217446. 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:

580 COTTAGE GROVE RD STE 107
BLOOMFIELD, CT
ZIP 06002-088
Phone: (860) 243-8709
Fax: (860) 243-8259

The NPI 1972217446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2023 and was last updated on 4/24/2024.

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
1363A00000XPhysician Assistant5936CONNECTICUTNo
2363AS0400XPhysician AssistantSurgical5936CONNECTICUTNo
3363AM0700XPhysician AssistantMedical5936CONNECTICUTYes

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: 11/21/2025

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