LAURA VEGA M.D.
NPI 1124412044
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Laura Vega's NPI number?

The NPI number for Laura Vega is 1124412044. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Q: What is Laura Vega's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Vega was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment

3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Dec 21, 2021 (2 updates tracked since 2021).

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About Laura Vega M.d. NPPES

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

LAURA VEGA M.D. (NPI 1124412044) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2015).

NPPES Registry Identity

NPI1124412044

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLAURA VEGACredential: M.D.

Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5784

Mailing Address4601 Dale RdModesto, CA 95356-9718 · (209) 557-1650

Phone(707) 583-8800

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2015

Enumeration DateMarch 28, 2015

Last NPPES UpdateApril 6, 20222 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1124412044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403

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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

Laura Vega M.d. 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 ID4082944038

PECOS Enrollment IDI20220414001208

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 20

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

DR. KENDALL MADDEN M.D.

Student in an Organized Health Care Education/Training Program