MEDICARE: MARCO ANTONIO AMBRIZ VAZQUEZ FNP-C

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	363LF0000X	Family Nurse Practitioner	95037535	CA

General Provider Information

NPI Number	:	1780542381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCO ANTONIO AMBRIZ VAZQUEZ FNP-C

Provider Business Mailing Address
First Line	:	823 GATEWAY CENTER WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-4541
Country	:	US
Telephone Number	:	619-515-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	765 MEDICAL CENTER CT
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91911-6600
Country	:	US
Telephone Number	:	619-616-2100
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	06/15/2026

Similar Medicare Providers

1225903453 — KENDALL FRYER PA
Practice Location Address:

765 MEDICAL CENTER CT STE 211
CHULA VISTA, CA
91911-6600

Practice Phone: 616-619-2100
Practice Fax:

1639468747 — RAFID R ASFAR M.D..
Practice Location Address:

765 MEDICAL CENTER CT STE 216
CHULA VISTA, CA
91911-6600

Practice Phone: 619-623-3000
Practice Fax: 619-623-3001

1215921697 — FRANCISCO ERNESTO ANGUIANO M.D.
Practice Location Address:

765 MEDICAL CENTER CT , SUITE 209
CHULA VISTA, CA
91911-6600

Practice Phone: 619-427-8892
Practice Fax: 619-422-7660

1407833031 — MAURICIO LEVINE M.D.
Practice Location Address:

765 MEDICAL CENTER CT , SUITE: 201
CHULA VISTA, CA
91911-6600

Practice Phone: 619-482-8080
Practice Fax: 619-482-8072

1790756799 — DR. IRENE S CHANG MD
Practice Location Address:

765 MEDICAL CENTER CT , SUITE 210
CHULA VISTA, CA
91911-6600

Practice Phone: 619-482-3090
Practice Fax: 619-482-7350

1851362875 — DR. ISABEL M BARATTA MD
Practice Location Address:

765 MEDICAL CENTER CT , SUITE # 210
CHULA VISTA, CA
91911-6600

Practice Phone: 619-482-3090
Practice Fax: 619-482-7350

Directions to “ MARCO ANTONIO AMBRIZ VAZQUEZ FNP-C” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.