MEDICARE: ALYSSA MONEI 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95166242	CA

General Provider Information

NPI Number	:	1376485276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA MONEI VEGA

Provider Business Mailing Address
First Line	:	15665 LAS POSAS DR
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92551-1991
Country	:	US
Telephone Number	:	909-489-0779
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 CALIFORNIA ST STE 140
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92374-2946
Country	:	US
Telephone Number	:	909-489-0779
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ ALYSSA MONEI VEGA ” Practice Location

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