Individual provider Active NPI

Melissa Angelica Vega, DC, CME

  • Chiropractor
  • Phelan, CA
National Provider Identifier
1417400367
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33534 Issued in CA
Practice address
10630 Wilson Ranch Rd
Phelan, CA 92371-7153
Phone
(760) 912-0139
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33534 CA Primary

Addresses

Primary practice location

10630 Wilson Ranch Rd
Phelan, CA 92371-7153

Mailing address

12180 Ridgecrest Rd
Ste 526
Victorville, CA 92395-5903
Phone (760) 912-0139

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

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1417400367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 RIDGECREST RD",
            "address_2": "STE 526",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955903",
            "telephone_number": "760-912-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 WILSON RANCH RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923717153",
            "telephone_number": "760-912-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "MELISSA",
        "middle_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "DC, CME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phelan, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.