Active NPI
Rosa Vega
- Contractor
- Buckeye, AZ
National Provider Identifier
1922733294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 9227214
- Practice address
- 1096 S 202ND LN
Buckeye, AZ 85326-8283 - Phone
- (623) 698-1270
- Fax
- (520) 407-5398
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 9227214 | AZ | Primary |
Addresses
Primary practice location
1096 S 202ND LN
Buckeye, AZ 85326-8283
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9227214 | Other | AZ | THERAPEUTIC FOSTER CARE |
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 |
|---|---|---|---|
| 9227214 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1922733294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86537",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857546537",
"telephone_number": "520-721-1887",
"fax_number": "520-407-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 S 202ND LN",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853268283",
"telephone_number": "623-698-1270",
"fax_number": "520-407-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "ROSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": "AZ",
"license": "9227214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPEUTIC FOSTER CARE",
"identifier": "9227214",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.