Individual provider Active NPI

Olga Karina Vega

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1144849019
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8171 Issued in AZ
Practice address
8160 N Hayden Rd Ste J112
Scottsdale, AZ 85258-2484
Phone
(480) 687-2370
Fax
(480) 687-3844
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 8171 AZ Primary

Addresses

Primary practice location

8160 N Hayden Rd Ste J112
Scottsdale, AZ 85258-2484

Mailing address

8160 N Hayden Rd Ste J112
Scottsdale, AZ 85258-2484
Phone (480) 687-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 4, 2024 through Sep 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8171AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Women'S Health Az LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: olga.vega@aza010.digichart.direct-ci.com

Organizations & group practices 1

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1144849019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 N HAYDEN RD STE J112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582484",
            "telephone_number": "480-687-2370",
            "fax_number": "480-687-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 N HAYDEN RD STE J112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582484",
            "telephone_number": "480-687-2370",
            "fax_number": "480-687-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "OLGA",
        "middle_name": "KARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.