Active NPI
Melissa Angelica Vega, DC, CME
- Chiropractor
- Phelan, CA
National Provider Identifier
1417400367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33534
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.