Katherine Elizabeth Vazquez, PA-C
Physician Assistant in Rialto, CA. Individual provider (NPI-1).
NPI number1023654530
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1023654530
- Entity type
- Individual (NPI-1)
- Name
- Katherine Elizabeth Vazquez
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2019
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1850 N Riverside Ave Ste 180Rialto, CA 92376-8071
Phone 909-787-1987
Mailing address
1850 N Riverside Ave Ste 180Rialto, CA 92376-8071
Phone 097-871-9879
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All 16 Physician Assistant providers in Rialto · All 1,367 providers in Rialto
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