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Nichole N Vasquez

Community Health Worker in Los Angeles, CA. Individual provider (NPI-1).

NPI number1245068014
StatusActive
Last updated in NPPESJul 23, 2024

Details

NPI
1245068014
Entity type
Individual (NPI-1)
Name
Nichole N Vasquez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 23, 2024
Certification date
Jul 23, 2024
Last updated
Jul 23, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Phone 323-593-5300

Mailing address

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Phone 323-593-5300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Los Angeles, CA

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