Jacqueline Vasquez, is a 
Rehabilitation Practitioner based in Van Nuys, California. Jacqueline Vasquez is licensed to practice in California (license number ) and her current practice location is 
16650 Sherman Way, Van Nuys, California. She can be reached at her office (for appointments etc.) via phone at 
(818) 855-2270.
NPI number for Jacqueline Vasquez is 1164149415 and her current mailing address is 16650 Sherman Way, Van Nuys, California. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164149415.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jacqueline Vasquez | 
|---|
| Gender | Female | 
|---|
| Speciality | Rehabilitation Practitioner | 
|---|
| Location | 16650 Sherman Way, Van Nuys, California | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1164149415
 - Provider Enumeration Date: 10/26/2022
 - Last Update Date: 10/19/2023
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jacqueline Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1164149415 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  |  (* (Not Available)) | Secondary | 
| 172V00000X | Community Health Worker  |  (* (Not Available)) | Secondary | 
| 225400000X | Rehabilitation Practitioner  |  (California) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Vasquez is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Jacqueline Vasquez, 16650 Sherman Way, Van Nuys, CA 91406-3782 Ph: () - | Jacqueline Vasquez, 16650 Sherman Way, Van Nuys, CA 91406-3782 Ph: (818) 855-2270 | 
		
		 
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