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MACARIO RUIZ VAZQUEZ MD
NPI 1689747032
General Practice in Pine Grove, CA

Active since November 15, 2006Opted out of Medicare · through Aug 10, 2027
19881 HWY 88, STE #5, PINE GROVE, CA 95665(209) 296-6811(209) 296-6827 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Macario Ruiz Vazquez Md NPPES

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

MACARIO RUIZ VAZQUEZ MD (NPI 1689747032) is an individual general practice provider in Pine Grove, California, licensed in California (A42097) and active in the NPI registry since November 2006. He has opted out of Medicare through August 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689747032
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMACARIO RUIZ VAZQUEZCredential: MD
Location Address19881 HWY 88, STE #5Pine Grove, CA 95665
Mailing AddressPo Box 1539Pine Grove, CA 95665 · (209) 296-6811 · Fax (209) 296-6827
Phone(209) 296-6811
Fax(209) 296-6827
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689747032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A42097
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
19881 HWY 88, Pine Grove, CA 95665
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Macario Ruiz Vazquez Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2017 through August 10, 2027.

Opt-Out Effective DateAugust 10, 2017
Opt-Out In Effect ThroughAugust 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Macario Vazquez's NPI number?

The NPI number for Macario Vazquez is 1689747032. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Macario Vazquez located?

Macario Vazquez practices at 19881 Hwy 88 Ste #5, Pine Grove, CA 95665. The listed phone number is (209) 296-6811.

What is Macario Vazquez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Macario Vazquez enrolled in Medicare?

No. Macario Vazquez has opted out of Medicare through August 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Macario Vazquez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.