DR. WALTER DAVID VAZQUEZ M.D.
NPI 1619949476
Surgery - Pediatric Surgery in San Diego, CA

Active since February 06, 2006PECOS Enrolled
34800 BOB WILSON DR, PEDIATRIC SURGERY CLINIC, SAN DIEGO, CA 92134(619) 532-5953 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Walter David Vazquez M.d. NPPES

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

DR. WALTER DAVID VAZQUEZ M.D. (NPI 1619949476) is an individual pediatric surgery provider in San Diego, California, licensed in California (G83488) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619949476
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. WALTER DAVID VAZQUEZCredential: M.D.
Location Address34800 BOB WILSON DR, PEDIATRIC SURGERY CLINICSan Diego, CA 92134-1098
Mailing Address877 Island Ave, #416San Diego, CA 92101-7116 · (619) 795-0988
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateNovember 29, 2021
NPI 1619949476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in CA · G83488
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
34800 BOB WILSON DR, San Diego, CA 92134

Other Identifiers 1

Medicaid00G834880CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Walter David Vazquez M.d. 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.

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 Walter Vazquez's NPI number?

The NPI number for Walter Vazquez is 1619949476. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Walter Vazquez located?

Walter Vazquez practices at 34800 Bob Wilson Dr Pediatric Surgery Clinic, San Diego, CA 92134. The listed phone number is (619) 532-5953.

What is Walter Vazquez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Walter Vazquez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Walter Vazquez was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.