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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY CHARLES VEGA

Active Sole Proprietor

JERRY CHARLES VEGA is a Medical Physician Assistant healthcare provider located in DESERT HOT SPRINGS, California. NPI 1013568088 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · DESERT HOT SPRINGS, CA

Registration Details

NPI Number
1013568088
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2019 (6.8532395323918 yrs)
Last Updated
Jun 17, 2021
Licenses
7657 (AZ)
59492 (CA)
Sole Proprietor
Yes

Practice Information

Address
66675 PIERSON BLVD
DESERT HOT SPRINGS, CA, 922403737
Browse CA providers · Browse ZIP 92240
Phone
7606765240
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in DESERT HOT SPRINGS, CA

Name Credential NPI
RAQUEL M. MEDEIROS PA-C 1023143633
MAXINE BELTRAN AGREGADO 1811510019
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.