Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alfonso M Vazquez

Individual provider Family Medicine Physician · NPI 1114506987

Alfonso M Vazquez is a Family Practice in Indio, California. Qualified in 2021, 5 years ago. Practices with Eisenhower Medical Center, a 459-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

81719 Dr Carreon Blvd Ste B
Indio, CA 92201-5518
Phone: (760) 837-8722
Fax: (760) 834-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 — (760) 837-8722

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A197337 (CA)

Record details

NPI number1114506987
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address81719 Dr Carreon Blvd Ste B, Indio, CA 92201-5518

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Indio