JORGE VASQUEZ


Address: 222 W Hospitality Ln, San Bernardino, CA 92415-3536
Phone: 9094214601

JORGE VASQUEZ (NPI# 1134644115) 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) 1134644115
Entity Type Individual
Full Name JORGE VASQUEZ
Credential CADC-I
Practice Address 222 W Hospitality Ln
San Bernardino
CA 92415-3536
Mailing Address Po Box 1221
Glendora
CA 91740-1221
Practice Telephone 9094214601
Mailing Telephone 9494783849
Enumeration Date 2017-08-10
Last Update Date 2020-01-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CICA01850919 CA Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
508 S 2nd Ave, Covina, CA 917233012 6269748123

Other Providers JORGE VASQUEZ

NPI Name Taxonomy Address Enumeration
1295839330 Jorge Antonia Vasquez Dentist 2136 W 8th St, Cincinnati, OH 45204-2052 2006-09-11

Office Location

Street Address 222 W HOSPITALITY LN
City SAN BERNARDINO
State CA
Zip Code 92415-3536

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578041042 Karina Judith Barragan Student in an Organized Health Care Education/Training Program 19500 South Sunwest Lane, San Bernardino, CA 92415 2018-08-06
1841714839 Layla Subhani Marriage & Family Therapist 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 2017-08-01
1023546637 Angelica Ruiz Marriage & Family Therapist 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 2017-05-25
1750825030 Jordyn Ackerman Marriage & Family Therapist 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 2016-12-06
1083063663 San Bernardino County Department of Public Health Public Health or Welfare 1505 South D Street, San Bernardino, CA 92415 2016-06-06
1366821233 Jodi Cerney Counselor 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 2015-05-26
1427442268 Yessenia Cruz Case Manager/Care Coordinator 780 E Gilbert St Bldg H, San Bernardino, CA 92415 2015-03-18
1861808859 Hector Armando Ortega Student in an Organized Health Care Education/Training Program 1950 S. Sunwest Ln., Rialto, CA 92415 2014-07-10
1437564762 Ashlee Barker Marriage & Family Therapist 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 2014-06-25
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
Find all providers in zip 92415

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215547229 Frank R Rivera Counselor 658 E Brier Dr Ste 350, San Bernardino, CA 92408-2875 2020-08-04
1528604501 Rise Recovery Counselor 395 W 17th St, San Bernardino, CA 92405-4409 2019-11-25
1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
1881163434 James Dean Anders Counselor 1481 Windsor Drive, San Bernardino, CA 92404 2018-11-13
1902328578 Kelly Canady Counselor 1100 N. D St., San Bernardino, CA 92410 2017-07-14
1477073377 Mack William Tolle Counselor 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 2017-06-21
1093247215 Traci Stockham Counselor 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 2017-03-28
1760938534 Michael Anthony Davis I Counselor 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 2016-08-31
1770944704 Cheryl Fox Counselor 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 2016-03-18
1346600921 Latasha Mcdonald Counselor 1365 North F Street, San Bernardino, CA 92405-0123 2016-02-25
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92415

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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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