ADAM BRYAN VERGARA
NPI 1598452245
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Adam Vergara's NPI number?

The NPI number for Adam Vergara is 1598452245. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Adam Vergara'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 Adam Vergara was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 21, 2023PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-6343 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Adam Bryan Vergara NPPES

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

ADAM BRYAN VERGARA (NPI 1598452245) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598452245

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameADAM BRYAN VERGARA

Location Address400 N PEPPER AVEColton, CA 92324-1819

Mailing Address22105 Lukens LnPerris, CA 92570-1513 · (951) 966-2359

Phone(909) 580-6343

Sole ProprietorYes

Enumeration DateApril 21, 2023

NPPES CertifiedApril 21, 2023

✔ NPI 1598452245 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.

400 N PEPPER AVE, Colton, CA 92324

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Bryan Vergara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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