Active NPI
Vera Anita Vargas, PA
- Medical Physician Assistant
- Perris, CA
National Provider Identifier
1750469342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 17237
- Practice address
- 391 Wilkerson Ave
Suite C
Perris, CA 92570-2254 - Phone
- (951) 943-7212
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 17237 | CA | Primary |
Addresses
Primary practice location
391 Wilkerson Ave
Suite C
Perris, CA 92570-2254
Mailing address
4355 Mount Vernon Ave
Riverside, CA 92507-4841
Phone (951) 686-9604
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17237 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750469342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 MOUNT VERNON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925074841",
"telephone_number": "951-686-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 WILKERSON AVE",
"address_2": "SUITE C",
"city": "PERRIS",
"state": "CA",
"postal_code": "925702254",
"telephone_number": "951-943-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "VERA",
"middle_name": "ANITA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "17237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.