Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VANESSA I MARES ANDRADE PA-S
NPI 1053225110
Physician Assistant - Medical in Vallejo, CA

Q: What is Vanessa Mares Andrade's NPI number?

The NPI number for Vanessa Mares Andrade is 1053225110. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Q: What is Vanessa Mares Andrade's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since September 28, 2026

1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Vanessa I Mares Andrade Pa-s NPPES

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

VANESSA I MARES ANDRADE PA-S (NPI 1053225110) is an individual medical provider in Vallejo, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1053225110

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameVANESSA I MARES ANDRADECredential: PA-S

Location Address1310 CLUB DRVallejo, CA 94592-1187

Mailing Address2655 Stephanie StSelma, CA 93662-4906 · (559) 819-9100

Phone(707) 638-5809

Sole ProprietorNo

Enumeration DateSeptember 28, 2026

NPPES CertifiedSeptember 28, 2026

✔ NPI 1053225110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

1310 CLUB DR, Vallejo, CA 94592

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Other Providers at the Same Location NPPES 20

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

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