Individual provider Active NPI

Nohemi Fuentes Vega

  • Occupational Therapist
  • National City, CA
National Provider Identifier
1295212140
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT18879 Issued in CA
Practice address
1727 Sweetwater Rd Ste 117
National City, CA 91950-7651
Phone
(619) 434-2063
Fax
(619) 336-0201
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT18879 CA Primary

Addresses

Primary practice location

1727 Sweetwater Rd Ste 117
National City, CA 91950-7651

Mailing address

2470 Nielsen St
El Cajon, CA 92020-1024
Phone (619) 392-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000837 NM Practitioner - Occupational Therapist in Private Practice 2466702543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Care LLCGroup PAC ID 2466746151, 8 clinicians

Practice addresses (Care Compare)

834 Paseo del Pueblo Sur
Taos, NM 87571-6758
Phone (575) 613-1093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18879CAMDAcupuncturist
OT18879CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Care, LLC Occupational Therapist CurrentSince Apr 14, 2025 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1295212140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 NIELSEN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201024",
            "telephone_number": "619-392-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 SWEETWATER RD STE 117",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507651",
            "telephone_number": "619-434-2063",
            "fax_number": "619-336-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES VEGA",
        "first_name": "NOHEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT18879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.