FREDERICK J DE LA VEGA, MD
NPI 1083028898
Specialist in La Jolla, CA
About Frederick J De La Vega, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK J DE LA VEGA, MD (NPI 1083028898) is a healthcare organization registered as a specialist in La Jolla, California and active in the NPI registry since June 2014. The organization lists Frederick J. De La Vega, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frederick J De La Vega, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Frederick J De La Vega, MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Frederick J De La Vega, MD's NPI number?
The NPI number for Frederick J De La Vega, MD is 1083028898. It was assigned to this organization in the NPPES registry on June 19, 2014.
Where is Frederick J De La Vega, MD located?
Frederick J De La Vega, MD is located at 9834 Genesee Ave 411, La Jolla, CA 92037. The listed phone number is (858) 677-1755.
What is Frederick J De La Vega, MD's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Frederick J De La Vega, MD enrolled in Medicare?
Yes. Frederick J De La Vega, MD is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Frederick J De La Vega, MD?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Frederick J De La Vega, MD. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Frederick J De La Vega, MD was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Frederick J De La Vega, Md · NPI 1083028898
Specialist organization in La Jolla, California. Organization record, active in the CMS NPPES registry since June 19, 2014.
## Identity
- **NPI:** 1083028898 (Entity type: Organization)
- **Enumerated:** June 19, 2014
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Frederick De La Vega, OWNER
## Practice location
- **Address:** 9834 GENESEE AVE, 411, La Jolla, CA 92037-1223
- **Phone:** (858) 677-1755 · **Fax:** (858) 677-1771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1083028898) · Data from the CMS NPPES public registry.