RICKY S ONOFRE-VASQUEZ M.D.
NPI 1750353892
Internal Medicine in Los Angeles, CA

Active since February 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0711840 · Microscopy
12099 W WASHINGTON BLVD STE 202, LOS ANGELES, CA 90066(310) 572-6225(310) 572-1267 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Feb 25, 2016 (2 updates tracked since 2016).

About Ricky S Onofre-vasquez M.d. NPPES

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

RICKY S ONOFRE-VASQUEZ M.D. (NPI 1750353892) is an individual internal medicine provider in Los Angeles, California, licensed in California (AO48136) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1750353892
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICKY S ONOFRE-VASQUEZCredential: M.D.
Location Address12099 W WASHINGTON BLVD STE 202Los Angeles, CA 90066-5882
Mailing Address16661 Akron StPacific Palisades, CA 90272-2308 · (310) 454-6948 · Fax (310) 454-6948
Fax(310) 572-1267
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateFebruary 3, 2006
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1750353892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · AO48136
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12099 W WASHINGTON BLVD STE 202, Los Angeles, CA 90066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ricky S Onofre-vasquez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820261498
PECOS Enrollment IDI20111026000422
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0711840

Ricky S Onofre-Vasquez MD · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0711840
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRicky S. Onofre-Vasquez
Laboratory Phone(310) 572-6225
Laboratory LocationRicky S Onofre-Vasquez MD12099 W Washington Blvd Ste 202, Los Angeles, CA 90066
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90066 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Ricky Onofre-vasquez's NPI number?

The NPI number for Ricky Onofre-vasquez is 1750353892. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Ricky Onofre-vasquez located?

Ricky Onofre-vasquez practices at 12099 W Washington Blvd Ste 202, Los Angeles, CA 90066. The listed phone number is (310) 572-6225.

What is Ricky Onofre-vasquez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ricky Onofre-vasquez enrolled in Medicare?

Yes. Ricky Onofre-vasquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Ricky Onofre-vasquez hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0711840) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ricky Onofre-vasquez was last updated on November 16, 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.