Active NPI
Alexia Vanegas
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1841977048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65561
- Practice address
- 1700 E Cesar E Chavez Ave Ste 2500
Los Angeles, CA 90033-2434 - Phone
- (323) 306-9632
- Fax
- (323) 268-6738
- NPI assigned
- Jun 29, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA65561 | CA | Primary |
Addresses
Primary practice location
1700 E Cesar E Chavez Ave Ste 2500
Los Angeles, CA 90033-2434
Mailing address
14650 Aviation Blvd Ste 100
Hawthorne, CA 90250-6667
Phone (323) 306-9632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA65561 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samir a Shah MD Professional Corporation | Past | Accepting new patients | |
| Employee Medical Consultants PC | Past | Accepting new patients | |
| Michael R. Gatto MD, Inc. | Past | Accepting new patients | |
| Citrus Valley Medical Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Otolaryngology Physician
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-
- Ophthalmology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1841977048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14650 AVIATION BLVD STE 100",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506667",
"telephone_number": "323-306-9632",
"fax_number": "323-268-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E CESAR E CHAVEZ AVE STE 2500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332434",
"telephone_number": "323-306-9632",
"fax_number": "323-268-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANEGAS",
"first_name": "ALEXIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA65561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.