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1528068483

NPI Code Detail

MEDICARE: FABIO VASQUEZ MD

MEDICARE: FABIO VASQUEZ MD

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	207Q00000X	Family Medicine Physician	41543	MN
2	207Q00000X	Family Medicine Physician	35174	AZ
3	207Q00000X	Family Medicine Physician	MD60158774	WA
4	207Q00000X	Family Medicine Physician	ME142744	FL
5	207Q00000X	Family Medicine Physician	C193582	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528068483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIO VASQUEZ MD

Provider Business Mailing Address
First Line	:	2204 S EL CAMINO REAL STE 315
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6390
Country	:	US
Telephone Number	:	206-218-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 S EL CAMINO REAL STE 315
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6390
Country	:	US
Telephone Number	:	206-218-7850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/22/2025

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Directions to “ FABIO VASQUEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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