MEDICARE: JASMIN VASQUEZ

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	104100000X	Social Worker	138187	CA

General Provider Information

NPI Number	:	1780514133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMIN VASQUEZ

Provider Business Mailing Address
First Line	:	661 ROBERTS LN STE A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93308-4723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	661 ROBERTS LN STE A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93308-4723
Country	:	US
Telephone Number	:	661-322-1021
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ JASMIN VASQUEZ ” Practice Location

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