NPIMap

Individual provider Active NPI

Jose Luis Vega III, M.D.

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1881955169
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54496 Issued in AZ
Practice address
675 S Avenue B
Yuma, AZ 85364-2749
Phone
(928) 539-3140
Fax
(928) 782-5296
NPI assigned
Jun 4, 2012
Last updated
Feb 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 54496 AZ Primary

Addresses

Primary practice location

675 S Avenue B
Yuma, AZ 85364-2749

Mailing address

2060 W 24TH St
Yuma, AZ 85364-6123
Phone (928) 819-8834

Other practice location 1

6200 Montano Plaza
UNM Hospitals
Albuquerque, NM 87131-0001
Phone (505) 272-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017002361 AZ Practitioner - Family Practice 9739486747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

675 S Ave B
Yuma, AZ 85364-2749
Phone (928) 539-3140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Community Health Center Inc Multi-Specialty CurrentSince Oct 9, 2017 Accepting new patients
Sunset Community Health Center Inc Multi-Specialty CurrentSince Oct 9, 2017 Accepting new patients
Sunset Community Health Center Inc Multi-Specialty Current Accepting new patients
Sunset Community Health Center Inc Multi-Specialty Past Accepting new patients
Sunset Community Health Center Multi-Specialty Past Accepting new patients
Sunset Community Health Center Inc Multi-Specialty PastSince Dec 7, 2025 Accepting new patients

Locations

1362 W Main St
Somerton, AZ 85350

2060 W 24th St
Yuma, AZ 85364
Phone (928) 344-4216

675 S Avenue B
Yuma, AZ 85364
Phone (928) 539-3140

675 S Avenue B
Bldg A
Yuma, AZ 85364
Phone (928) 539-3140

Interoperability endpoints

  • Direct secure messaging: jose.vega.p1@direct.sunset.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Compassus-Casa GrandeCasa Grande, AZ, CCN 031521 Hospice Contracted Managing Employee Jan 31, 2025
Hospice Compassus-YumaYuma, AZ, CCN 031573 Hospice Contracted Managing Employee Jan 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 7

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1881955169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8834",
            "fax_number": "928-539-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S AVENUE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642749",
            "telephone_number": "928-539-3140",
            "fax_number": "928-782-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Montano Plaza",
            "address_2": "UNM Hospitals",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.