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

Jonathan David Vasquez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669208880

Jonathan David Vasquez is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2020 Milvia St Ste 450
Berkeley, CA 94704-1297
Phone: (510) 214-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1918 University Ave Ste 2b, Berkeley, CA 94704-3264 — (510) 548-9716
  • 3626 Balboa St, San Francisco, CA 94121-2604 — (415) 668-5955

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 94029315 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669208880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address2020 Milvia St Ste 450, Berkeley, CA 94704-1297

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