BENJAMIN PHILLIP VASQUEZ (NPI# 1568938413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568938413 |
| Entity Type | Individual |
| Full Name | BENJAMIN PHILLIP VASQUEZ |
| Credential | PT, DPT |
| Practice Address |
9850 Genesee Ave Ste 320 La Jolla CA 92037-1208 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 8589649800 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
294934 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9850 GENESEE AVE STE 320 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902844939 | Mona M. Ezzat | Family Medicine | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2006-06-03 |
| 1174006936 | Angelique Marie Colon | Nurse Practitioner | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-09-07 |
| 1770065252 | Kelly Anne Snowden | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-08-31 |
| 1518455179 | Sarah Lynn Pierce | Nurse Practitioner | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2018-04-28 |
| 1750897500 | Christyanne Lois Maxson | Family Medicine | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2017-12-15 |
| 1356853386 | Jaron West | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2017-10-31 |
| 1396255477 | Kelsey Renee Brangoccio | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037 | 2017-10-03 |
| 1538534805 | Julie Anne Hoffman | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2015-12-11 |
| 1104209048 | Nicholas Canelo | Family Medicine | 9850 Genesee Ave Ste 320, La Jolla, CA 92037 | 2015-07-08 |
| 1841611324 | Natalia Kovaleski | Physician Assistant | 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841572112 | Meredith Victor | Physical Therapist | 737 Pearl St Ste 108, La Jolla, CA 92037-5063 | 2011-09-13 |
| 1114472230 | Carter Mcelroy | Physical Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417355 | Aryana Carvalho-mires | Physical Therapist | 11500 W Olympic Blvd Ste 415, Los Angeles, CA 90064-1536 | 2020-08-10 |
| 1649899196 | Elisabeth Alisa Brown | Physical Therapist | 512 Acorn Ct, Scotts Valley, CA 95066-4582 | 2020-04-14 |
| 1861028029 | Darrell R Musick | Physical Therapist | 1033 Willow Lake Rd, Discovery Bay, CA 94505-9402 | 2020-03-19 |
| 1144851197 | Maxine Joyce | Physical Therapist | 15004 Innovation Dr # 4s-205, San Diego, CA 92128-3491 | 2020-01-29 |
| 1790293512 | Rachel Tran | Physical Therapist | 2356 N San Benito Ct, Claremont, CA 91711-1537 | 2018-01-15 |
| 1689189235 | Jill D See | Physical Therapist | 843 Health Sciences Rd Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
| 1528588423 | Nathan S. Hohsfield | Physical Therapist | 923 Millson Court, Galt, CA 95632-3402 | 2017-06-21 |
| 1578013561 | Xiaoyin Wang | Physical Therapist | 50 Lansing St Unit 508, San Francisco, CA 94105-4684 | 2016-10-13 |
| 1831646181 | Chelsea Richardson | Physical Therapist | 3848 W Carson St Ste 110, Torrance, CA 90503-6704 | 2016-09-03 |
| 1851788038 | Elline Rose Drilon Linterna | Physical Therapist | 2371 Shawn Dr, San Pablo, CA 94806-1658 | 2015-04-24 |
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| 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.