Active NPI
Gustavo Vega, CRC, CATC-IV
- Professional Counselor
- San Diego, CA
National Provider Identifier
1518785013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1011 Camino del Rio S Ste 300
San Diego, CA 92108-3567 - Phone
- (619) 701-3211
- NPI assigned
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1011 Camino del Rio S Ste 300
San Diego, CA 92108-3567
Mailing address
1011 Camino del Rio S Ste 300
San Diego, CA 92108-3567
Phone (619) 701-3211
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1518785013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 CAMINO DEL RIO S STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083567",
"telephone_number": "619-701-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 CAMINO DEL RIO S STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083567",
"telephone_number": "619-701-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "GUSTAVO",
"credential": "CRC, CATC-IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.