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

Dr. Jason Vasquez, PHD

Individual provider Counseling Psychologist · NPI 1457609802

Dr. Jason Vasquez, PHD is a Clinical Psychologist in Riverside, California. Qualified in 2009, 17 years ago. Practices with Tobias Moeller-Bertram MD Corporation, a 55-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
17
Licensed in
CA, IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Phone: (760) 647-7676
Fax: (760) 347-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 29584 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071.008407 (IL)

Record details

NPI number1457609802
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 16, 2012
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address7065 Indiana Ave Ste 100&110, Riverside, CA 92506-4167

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tobias Moeller-Bertram Md Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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