MRS. STACEY VASQUEZ PA-C
NPI 1942728795
Physician Assistant in Anaheim, CA

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment
1311 S ANAHEIM BLVD, ANAHEIM, CA 92805(714) 635-6400 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Feb 13, 2019, Aug 31, 2017 (3 updates tracked since 2017).

About Mrs. Stacey Vasquez Pa-c NPPES

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

MRS. STACEY VASQUEZ PA-C (NPI 1942728795) is an individual physician assistant in Anaheim, California, licensed in California (54832) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Ana, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942728795
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. STACEY VASQUEZCredential: PA-C
Location Address1311 S ANAHEIM BLVDAnaheim, CA 92805-6202
Mailing AddressPo Box 532Garden Grove, CA 92842-0532 · (714) 679-3013
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 31, 2017
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPI 1942728795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 54832
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1311 S ANAHEIM BLVD, Anaheim, CA 92805

Secondary Practice Location 1

Location 11430 W 1st StSanta Ana, CA 92703-3779 · Phone (714) 955-0038

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

Mrs. Stacey Vasquez Pa-c 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 ID7618393281
PECOS Enrollment IDI20200812003614
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 92805 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1311 S ANAHEIM BLVD
ANAHEIM, CA 92805
Physician Assistant
1311 S ANAHEIM BLVD
ANAHEIM, CA 92805
Physician Assistant
1311 S ANAHEIM BLVD
ANAHEIM, CA 92805
Nurse Practitioner (Family)
1311 S ANAHEIM BLVD
ANAHEIM, CA 92805

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 Stacey Vasquez's NPI number?

The NPI number for Stacey Vasquez is 1942728795. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Stacey Vasquez located?

Stacey Vasquez practices at 1311 S Anaheim Blvd, Anaheim, CA 92805. The listed phone number is (714) 635-6400.

What is Stacey Vasquez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Vasquez enrolled in Medicare?

Yes. Stacey 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.

When was this NPI record last updated?

The NPPES record for Stacey Vasquez was last updated on December 3, 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.