Individual provider Active NPI

Angela Lynn Segovia, PA-C

  • Medical Physician Assistant
  • Vista, CA
National Provider Identifier
1356644173
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21235 Issued in CA
Practice address
1070 S Santa Fe Ave Ste 10
Vista, CA 92084-7010
Phone
(760) 941-7022
Fax
(760) 941-7142
NPI assigned
Dec 16, 2010
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21235 CA Primary

Addresses

Primary practice location

1070 S Santa Fe Ave Ste 10
Vista, CA 92084-7010

Mailing address

1070 S Santa Fe Ave Ste 10
Vista, CA 92084-7010
Phone (760) 941-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21235CAMDSpeech-Language Pathologist
PA21235CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VF Alliance, a Medical Corporation PastSince Dec 30, 2017 Accepting new patients
Vista Family Health Center,a Medical Corporation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1356644173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE STE 10",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847010",
            "telephone_number": "760-941-7022",
            "fax_number": "760-941-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 S SANTA FE AVE STE 10",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847010",
            "telephone_number": "760-941-7022",
            "fax_number": "760-941-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIA",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.