Individual provider Active NPI

Aaron Samuel Vega, PA

  • Physician Assistant
  • Artesia, NM
National Provider Identifier
1821490103
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2015-0074 Issued in NM
Practice address
1105 Memorial Dr
Artesia, NM 88210-1189
Phone
(575) 746-9848
Fax
(575) 746-9840
NPI assigned
Sep 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2015-0074 NM Primary

Addresses

Primary practice location

1105 Memorial Dr
Artesia, NM 88210-1189

Mailing address

1718 E Lincoln Rd Apt K2070
Spokane, WA 99217-7787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151113000597 NM Practitioner - Physician Assistant 1658681168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Carlsbad, NM, CCN 327172
  • TLC Home Health Care, LLC Home health agency, Carlsbad, NM, CCN 327209
  • J & J Home Care, Inc. Home health agency, Artesia, NM, CCN 327136
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Oct 26, 2015 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 26, 2015 Accepting new patients
Presbyterian Medical Services Past Accepting new patients

Locations

1105 Memorial Dr
Artesia, NM 88210
Phone (505) 746-9848

3000 W Church St
Carlsbad, NM 88220
Phone (505) 302-8202

2013 San Jose Blvd
Carlsbad, NM 88220
Phone (505) 887-2455

202 W Church St
Carlsbad, NM 88220
Phone (505) 885-2165

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: aaron.vega.p1@direct.pmsnm.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1821490103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E LINCOLN RD APT K2070",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992177787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101189",
            "telephone_number": "575-746-9848",
            "fax_number": "575-746-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "AARON",
        "middle_name": "SAMUEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2015-0074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.