Ernesto Vega Jr., ERNESTO VEGA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

100 Park Blvd
San Diego, CA 92101-7405

Phone

(530) 354-6533

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Ernesto Vega Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1700848546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 DUFFY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951163065",
            "telephone_number": "530-354-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017405",
            "telephone_number": "530-354-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ERNESTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ERNESTO VEGA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNESTO",
            "last_name": "VEGA",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "ERNESTO VEGA,ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Crisel Vega
• Dane Hendrix Vega
• Daphne A Vega
• Edgar Jesus Vega
• Emily Karina Vega, ASW
• Gustavo Vega, CRC, CATC-IV
• Jacqueline Vega
• Janet Lim Vega
• Julia Vega, LMSW
• Karina S Vega

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.