MEDICARE: TIMOTHY VEGA PTA

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	225200000X	Physical Therapy Assistant	50306	CA

General Provider Information

NPI Number	:	1740149632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY VEGA PTA

Provider Business Mailing Address
First Line	:	9621 LEMORAN AVE
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-3054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4028 E BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-1502
Country	:	US
Telephone Number	:	562-433-4331
Fax Number	:

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

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

Similar Medicare Providers

1932244662 — MR. PETER MICHAEL GORDON MA - MFT
Practice Location Address:

4030 E BROADWAY
LONG BEACH, CA
90803-1502

Practice Phone: 562-826-9009
Practice Fax: 562-987-3538

1720283252 — AMIE LOWERY-LUYTIES MFT
Practice Location Address:

4030 E BROADWAY
LONG BEACH, CA
90803-1502

Practice Phone: 562-987-3535
Practice Fax:

1679764526 — DAVID SCHLUTE D.C.
Practice Location Address:

4028 E BROADWAY
LONG BEACH, CA
90803-1502

Practice Phone: 714-791-3183
Practice Fax:

1437320314 — PARISA REFAAT
Practice Location Address:

4028 E BROADWAY
LONG BEACH, CA
90803-1502

Practice Phone: 562-433-4331
Practice Fax:

1740427673 — PARISA REFAAT PHYSICAL THERAPY INC.
Practice Location Address:

4028 E BROADWAY
LONG BEACH, CA
90803-1502

Practice Phone: 562-433-4331
Practice Fax: 562-433-4336

1003214966 — RUBIN LEVER PT, DPT
Practice Location Address:

4028 E BROADWAY
LONG BEACH, CA
90803-1502

Practice Phone: 562-433-4331
Practice Fax: 562-433-4336

Directions to “ TIMOTHY VEGA PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.