JERRY CHARLES VEGA
NPI 1013568088
Physician Assistant - Medical in Desert Hot Springs, CA

Active since September 21, 2019PECOS EnrolledAccepts Medicare Assignment
66675 PIERSON BLVD, DESERT HOT SPRINGS, CA 92240(760) 676-5240 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2021, Oct 16, 2019, Sep 21, 2019 (3 updates tracked since 2019).

About Jerry Charles Vega NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY CHARLES VEGA (NPI 1013568088) is an individual medical provider in Desert Hot Springs, California, licensed in California (59492) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013568088
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJERRY CHARLES VEGA
Location Address66675 PIERSON BLVDDesert Hot Springs, CA 92240-3737
Mailing Address1515 E Cedar Ave Ste A-3Flagstaff, AZ 86004-1630 · (928) 774-2788 · Fax (928) 774-0123
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 21, 2019
Last NPPES UpdateJune 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1013568088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 59492
Also ListedPhysician AssistantTaxonomy 363A00000X · License 7657 (AZ)
66675 PIERSON BLVD, Desert Hot Springs, CA 92240

Secondary Practice Location 1

Location 11515 E Cedar Ave Ste A-3Flagstaff, AZ 86004-1630 · Phone (928) 774-2788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerry Charles Vega is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355773391
PECOS Enrollment IDI20210720002912
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240
Internal Medicine
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240
Clinic/Center (Federally Qualified Health Center (FQHC))
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240
Nurse Practitioner (Family)
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240
Nurse Practitioner (Family)
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240
Physician Assistant
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240
Family Medicine
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA 92240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Vega's NPI number?

The NPI number for Jerry Vega is 1013568088. It was assigned to this individual provider in the NPPES registry on September 21, 2019.

Where is Jerry Vega located?

Jerry Vega practices at 66675 Pierson Blvd, Desert Hot Springs, CA 92240. The listed phone number is (760) 676-5240.

What is Jerry Vega's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jerry Vega enrolled in Medicare?

Yes. Jerry Vega is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jerry Vega was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.