Individual provider Active NPI

Cesar Augusto Vega, M.D.

  • Family Medicine Physician
  • Northridge, CA
National Provider Identifier
1093736548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76791 Issued in CA
Practice address
184332 Roscoe Blvd.
Suite 103
Northridge, CA 91325
Phone
(818) 734-7620
Fax
(818) 734-7621
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76791 CA Primary

Addresses

Primary practice location

184332 Roscoe Blvd.
Suite 103
Northridge, CA 91325

Mailing address

18433 Roscoe Blvd Ste 103
Northridge, CA 91325-4126
Phone (818) 734-7620

Other identifiers 1

IdentifierTypeStateIssuer
0A767910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000390 CA Practitioner - Family Practice 8325052582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76791CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogece a Professional Medical Corporation Family Medicine CurrentSince Oct 4, 2002 Accepting new patients
Dignity Community Care PastSince Feb 1, 2011 Accepting new patients

Locations

18433 Roscoe Blvd
Ste 103
Northridge, CA 91325
Phone (818) 734-7620

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093736548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 103",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254126",
            "telephone_number": "818-734-7620",
            "fax_number": "818-734-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184332 ROSCOE BLVD.",
            "address_2": "SUITE 103",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-734-7620",
            "fax_number": "818-734-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "CESAR",
        "middle_name": "AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A767910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.