Selu Kateri Vargas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14099 Issued in TX

Practice address

1316 Angel Wings CT
El Paso, TX 79936-7877

Phone

(614) 377-9651

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Shingle Springs Rancheria

  dba Shingle Springs Health and Wellness Center

  • Health Service Clinic/Center
  • Placerville, CA
  • NPI 1245356674
  Medicare reassignment

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1912509910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 ANGEL WINGS CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367877",
            "telephone_number": "614-377-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ANGEL WINGS CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367877",
            "telephone_number": "614-377-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "SELU",
        "middle_name": "KATERI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58692",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "14099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Vargas III
• Ralph Vargas, PT
• Ricardo Vargas, NP
• Rosa Esperanza Vargas, PMHNP-BC
• Rosa Maria Vargas, LCSW
• Vicente Vargas Jr., RT(R)
• Rani S Varghese
• Krishnan R Varma, MD
• Javier Alejandro Vasallo, M.D.
• Alexis Vasavilbazo

• Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.

Verify at the official NPI Registry.