MEDICARE: VASA EDUCATIONAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1225969264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASA EDUCATIONAL SERVICES

Provider Business Mailing Address
First Line	:	2635 NAPA ST UNIT 1361
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-5661
Country	:	US
Telephone Number	:	707-534-8189
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 SACRAMENTO ST
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-3126
Country	:	US
Telephone Number	:	707-534-8189
Fax Number	:

Authorized Official
Title or Position	:	BOARD PRESIDENT
Name	:	ADJOA MARIE MCDONALD
Credential	:
Telephone Number	:	559-750-1420

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “VASA EDUCATIONAL SERVICES ” Practice Location

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