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EDGAR JESUS VEGA
NPI 1790488443
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 22, 2023PECOS Enrolled
6911 CONVOY CT FL 2, SAN DIEGO, CA 92111(760) 871-5856 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar Jesus Vega NPPES

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

EDGAR JESUS VEGA (NPI 1790488443) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790488443
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDGAR JESUS VEGA
Location Address6911 CONVOY CT FL 2San Diego, CA 92111-1014
Mailing Address6911 Convoy Ct Fl 2San Diego, CA 92111-1014
Phone(760) 871-5856
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1790488443 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.
6911 CONVOY CT FL 2, San Diego, CA 92111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Jesus Vega is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638656283
PECOS Enrollment IDI20260126000455
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edgar Vega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sharp Rees-Stealy Medical Group, Inc
0.6 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666
Southern California Permanente Medical Group
4.6 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RAVEN BENNETT MD
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (858) 573-6400
DR. REBECCA EARLY MD
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (858) 573-6400
DR. IAN RUSSELL DO
Family Medicine
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (858) 573-6400
DR. JAMISON MARIE STOUT MD
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (833) 574-2273
PAUL CYRUS KASRAZADEH
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (858) 573-6409
JACQUES LOWE MD
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (619) 528-5164
JEMIMA DEGAMO MD
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (853) 574-2273
JESSICA DONG
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
San Diego County (833) 574-2273

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 Edgar Vega's NPI number?

The NPI number for Edgar Vega is 1790488443. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Edgar Vega located?

Edgar Vega practices at 6911 Convoy Ct Fl 2, San Diego, CA 92111. The listed phone number is (760) 871-5856.

What is Edgar Vega's specialty?

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

Is Edgar Vega enrolled in Medicare?

Yes. Edgar Vega is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edgar Vega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Vega reassigns Medicare benefits to 2 organizations: Sharp Rees-Stealy Medical Group, Inc (San Diego, CA) and Southern California Permanente Medical Group (San Diego, CA). Each 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 Edgar Vega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edgar Vega was last updated on September 26, 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.