Active NPI
Michael Vega, PTA
- Physical Therapy Assistant
- San Marcos, CA
National Provider Identifier
1942910567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52247
- Practice address
- 2115 Montiel Rd Ste 103
San Marcos, CA 92069-3587 - Phone
- (760) 839-2901
- NPI assigned
- Dec 5, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 52247 | CA | Primary |
Addresses
Primary practice location
2115 Montiel Rd Ste 103
San Marcos, CA 92069-3587
Mailing address
10588 Rancho Carmel Dr
San Diego, CA 92128-3629
Phone (858) 531-4536
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 |
|---|---|---|---|
| 52247 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1942910567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10588 RANCHO CARMEL DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283629",
"telephone_number": "858-531-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 MONTIEL RD STE 103",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693587",
"telephone_number": "760-839-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "MICHAEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.