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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: November 01, 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
Phone(619) 532-5953
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
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G834880CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Walter Vazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.8 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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.

Which organization bills Medicare for Walter Vazquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Vazquez reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Walter Vazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.