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GUSTAVO VAZQUEZ
NPI 1295668689
Emergency Medicine in Manteca, CA

Active since June 04, 2026PECOS Enrolled
641 CAMELIA LN, MANTECA, CA 95336(209) 640-5668 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gustavo Vazquez NPPES

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

GUSTAVO VAZQUEZ (NPI 1295668689) is an individual emergency medicine provider in Manteca, California, licensed in California (1253454) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295668689
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGUSTAVO VAZQUEZ
Location Address641 CAMELIA LNManteca, CA 95336-3658
Mailing Address641 Camelia LnManteca, CA 95336-3658
Phone(209) 640-5668
Sole ProprietorNo
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1295668689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 1253454
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
641 CAMELIA LN, Manteca, CA 95336
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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)

Gustavo Vazquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95336 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gustavo Vazquez's NPI number?

The NPI number for Gustavo Vazquez is 1295668689. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Gustavo Vazquez located?

Gustavo Vazquez practices at 641 Camelia Ln, Manteca, CA 95336. The listed phone number is (209) 640-5668.

What is Gustavo Vazquez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gustavo Vazquez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gustavo Vazquez was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.