Active NPI
Jesus Vargas
- Occupational Therapy Assistant
- Riverside, CA
National Provider Identifier
1851287635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2710
- Practice address
- 8133 Magnolia Ave
Riverside, CA 92504-3409 - Phone
- (951) 688-4321
- NPI assigned
- Jun 17, 2025
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2710 | CA | Primary |
Addresses
Primary practice location
8133 Magnolia Ave
Riverside, CA 92504-3409
Mailing address
461 Winslow Dr
Corona, CA 92879-1064
Phone (951) 751-4395
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2710 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1851287635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 WINSLOW DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928791064",
"telephone_number": "951-751-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8133 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043409",
"telephone_number": "951-688-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "JESUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "2710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.