Gilbert G Vega, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3434 Issued in AZ

Practice address

1962 E Juan Sanchez Blvd Ste C2
San Luis, AZ 85336-0478

Phone

(928) 627-4825

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Sanando Integrative Med Clinic, PLLC

  • Family Medicine Physician
  • San Luis, AZ
  • NPI 1891450474
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1285664151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "928-342-6500",
            "fax_number": "928-627-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 E JUAN SANCHEZ BLVD STE C2",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853360478",
            "telephone_number": "928-627-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11468 N Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853678970",
            "country_code": "US",
            "telephone_number": "928-342-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "GILBERT",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3434",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Valenzuela IV, NP
• Allison Marie Valle, SLPA
• Jaime Emmanuel Valles
• Jesus Abraham Valtierra, FNP STUDENT
• Araceli Cervantes Vargas
• Johanna Velasco Lopez, COTA/L
• Norma Villegas-Galindo, MD
• Walmart Inc.
• Bryson Lee Wandling, PA-C
• Yuma Regional Medical Center

• Physician Assistant in San Luis, AZ
• Providers in San Luis, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.