NPIMap

Organization Active NPI

Vega Diagnostic & Consulting Services, LLC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1003337247
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0123991 Issued in NM
Legal business name
VEGA DIAGNOSTIC & CONSULTING SERVICES, LLC
Practice address
29 Rito Guicu
Santa Fe, NM 87507-4321
Phone
(505) 235-4002
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sun Vega, MBANPI 1538779897
Title
Managing Partner
Phone
(505) 235-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0123991 NM Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 375345 NM

Addresses

Primary practice location

29 Rito Guicu
Santa Fe, NM 87507-4321

Mailing address

29 Rito Guicu
Santa Fe, NM 87507-4321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1003337247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RITO GUICU",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RITO GUICU",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074321",
            "telephone_number": "505-235-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA DIAGNOSTIC & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "505-235-4002",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0123991",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "375345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.