Organization Active NPI

Vegi, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Moreno Valley, CA
National Provider Identifier
1326381864
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MFC52985 Issued in CA
Legal business name
VEGI, INC.
Doing business as
Family Matters
Practice address
12968 Frederick St.,
Ste. a, B, C, D
Moreno Valley, CA 92553
Phone
(909) 967-0216
Fax
(951) 279-0892
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Sharada Vegi, PH.DNPI 1073790424
Title
Director
Phone
(909) 967-0216

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MFC52985 CA Primary

Addresses

Primary practice location

12968 Frederick St.,
Ste. a, B, C, D
Moreno Valley, CA 92553

Mailing address

12968 Frederick St.,
Ste. a,B, C, D
Moreno Valley, CA 92553
Phone (909) 967-0216

Other names 1

  • Family Matters Doing business as

National Provider Directory

National Provider Directory

Locations

12968 Frederick St
Ste Ab
Moreno Valley, CA 92553

12968 Frederick St
Ste A
Moreno Valley, CA 92553
Phone (951) 208-0150

12968 Frederick St
Ste D
Moreno Valley, CA 92553
Phone (951) 242-7738

Practitioners & affiliated clinicians

Practitioners 1

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": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1326381864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST.,",
            "address_2": "STE. A,B, C, D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "909-967-0216",
            "fax_number": "951-279-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST.,",
            "address_2": "STE. A, B, C, D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "909-967-0216",
            "fax_number": "951-279-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "VEGI",
        "authorized_official_first_name": "SHARADA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-967-0216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "MFC52985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.