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KATHERINE ELIZABETH VAZQUEZ PA-C
NPI 1023654530
Physician Assistant in Rialto, CA

Active since November 19, 2019PECOS Enrolled
1850 N RIVERSIDE AVE STE 180, RIALTO, CA 92376(909) 787-1987 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, May 15, 2024, Nov 19, 2019 (3 updates tracked since 2019).

About Katherine Elizabeth Vazquez Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE ELIZABETH VAZQUEZ PA-C (NPI 1023654530) is an individual physician assistant in Rialto, California and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023654530
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE ELIZABETH VAZQUEZCredential: PA-C
Location Address1850 N RIVERSIDE AVE STE 180Rialto, CA 92376-8071
Mailing Address1850 N Riverside Ave Ste 180Rialto, CA 92376-8071 · (097) 871-9879
Phone(909) 787-1987
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2019
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1023654530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1850 N RIVERSIDE AVE STE 180, Rialto, CA 92376
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Elizabeth Vazquez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901383439
PECOS Enrollment IDI20260127001410
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANINE JESSICA GLORIA AMFT, APCC
Marriage & Family Therapist
1850 N RIVERSIDE AVE STE 180
RIALTO, CA 92376
San Bernardino County (909) 379-4406
ICLASS TREATMENT CENTER INC.
Counselor (Mental Health)
1850 N RIVERSIDE AVE STE 180
RIALTO, CA 92376
San Bernardino County (818) 351-6937
MR. EDWIN MCBRIDE JR. MDIV
Counselor (Pastoral)
1850 N RIVERSIDE AVE STE 180
RIALTO, CA 92376
San Bernardino County (949) 393-1945
MR. DANIEL ALFRED JUAREZ JR.
Marriage & Family Therapist
1850 N RIVERSIDE AVE STE 180
RIALTO, CA 92376
San Bernardino County (909) 681-0805
DR. NADINE STACY-MARIE LYSEIGHT M.D.
Obstetrics & Gynecology
1850 N RIVERSIDE AVE STE 180
RIALTO, CA 92376
San Bernardino County (909) 787-1987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Vazquez's NPI number?

The NPI number for Katherine Vazquez is 1023654530. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Katherine Vazquez located?

Katherine Vazquez practices at 1850 N Riverside Ave Ste 180, Rialto, CA 92376. The listed phone number is (909) 787-1987.

What is Katherine Vazquez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katherine Vazquez enrolled in Medicare?

Yes. Katherine Vazquez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Vazquez was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.