CATHIA VAZQUEZ


Address: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292
Phone: 3106561770

CATHIA VAZQUEZ (NPI# 1003104548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003104548
Entity Type Individual
Full Name CATHIA VAZQUEZ
Credential M.D.
Practice Address 4560 Admiralty Way Ste 100
Marina Del Rey
CA 90292
Mailing Address 5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631
Practice Telephone 3106561770
Practice Fax Number 3105785379
Enumeration Date 2011-07-19
Last Update Date 2019-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine A126312 CA Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
A126312 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2424 Wilshire Blvd, Santa Monica, CA 904035806 3108284530 3104534613

Office Location

Street Address 4560 ADMIRALTY WAY STE 100
City MARINA DEL REY
State CA
Zip Code 90292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548258064 Arti H Chawla Internal Medicine 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 2005-10-10
1851772214 Salim F Ahmed Internal Medicine 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 2015-06-11
1528471174 Madeleine Vonderschmidt Physician Assistant 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 2014-06-10
1821164690 Lisa Kellman Emergency Medicine 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 2006-11-25
1326072380 Riquaza Zainul Zavahir Internal Medicine 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 2006-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972142420 Katy Kleinberg Physical Therapist 4820 Lincoln Blvd., Marina Del Rey, CA 90292 2020-01-02
1568028330 Kylie Nakamine Physical Therapist 4820 Lincoln Bld, Marina Del Rey, CA 90292 2019-05-16
1033627807 Kareema Nasouf Social Worker 578 Washington Blvd. #815, Marina Del Rey, CA 90292 2018-01-16
1861916611 Jaqueline Berenice Higbee Behavior Technician 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 2017-08-02
1063942696 Luis Albert Japngie Chiropractor 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 2017-06-15
1427509082 Melissa Dowling Nurse Anesthetist, Certified Registered 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 2016-10-19
1578932950 Gratto Aquatic Rehab Clinic/Center 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 2015-09-16
1285018309 Reed Chiropractic & Wellness Center A Professional Corporation Chiropractor 4207 Del Rey Ave., Marina Del Rey, CA 90292 2015-07-18
1083990725 James J Kim Pharmacist 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 2011-10-26
1689957805 Medbil, LLC Anesthesiology 1024 Oxford Ave., Marina Del Rey, CA 90292 2011-09-23
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447875570 Nader Sobh Inc Family Medicine 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 2020-06-15
1124596010 Cam Md Family Medicine 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 2018-11-08
1902289226 Daesoon Leem Family Medicine 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 2015-07-06
1114313616 Michelle Sriwongtong Family Medicine 834 Castro St, 3, San Francisco, CA 94114-2858 2015-04-10
1225433006 Harut Madatovian Family Medicine 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 2014-10-23
1760801880 Kyle William Meyer Family Medicine 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 2014-04-16
1720403553 Dianne Longo Family Medicine 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 2014-03-03
1255760633 Steven William Marles Family Medicine 4265 Tapestry Way, Turlock, CA 95382-7448 2013-11-05
1497098909 Joshua David Sampson Family Medicine 2299 Post St Ste 107, San Francisco, CA 94115-3460 2013-04-03
1699015529 Andrew Saleh Family Medicine 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 2013-03-01
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Competitor

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City MARINA DEL REY
Zip Code 90292

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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