MEDICARE: DR. SHAYNA VEGA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD20671	RI
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1861029118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAYNA VEGA MD

Provider Business Mailing Address
First Line	:	455 TOLL GATE RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-2759
Country	:	US
Telephone Number	:	401-737-7010
Fax Number	:	401-736-4546

Provider Business Practice Location Address
First Line	:	KAISER PERMANENTE OAKLAND MEDICAL CENTER
Second Line	:	275 W. MACARTHUR BLVD.
City	:	OAKLAND
State	:	CA
Zip	:	94611
Country	:	US
Telephone Number	:	510-752-9234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	02/16/2026

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