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NPI Code Detail

MEDICARE: JAIME VEGA

MEDICARE: JAIME VEGA
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
1164X00000XLicensed Vocational NurseVN705285CA

General Provider Information

NPI Number : 1962378240
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME VEGA
Provider Business Mailing Address
First Line : 570 KRIDER CT
Second Line :
City : TRACY
State : CA
Zip : 95376-5427
Country : US
Telephone Number : 510-701-4341
Fax Number :
Provider Business Practice Location Address
First Line : 2441 CONSTITUTION DR
Second Line :
City : LIVERMORE
State : CA
Zip : 94551-7573
Country : US
Telephone Number : 510-433-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2025
Last Update Date : 10/14/2025

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Directions to “ JAIME VEGA ” Practice Location

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