| Ms Jeanette Vega, LCSW | |
|
5201 Great America Pkwy, Santa Clara, CA 95054-1122 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Ms Jeanette Vega |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5201 Great America Pkwy, Santa Clara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114359502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73832 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jeanette Vega, LCSW Po Box 4361, Santa Ana, CA 92702-4361 Ph: () - | Ms Jeanette Vega, LCSW 5201 Great America Pkwy, Santa Clara, CA 95054-1122 Ph: (323) 205-7088 |
Mr. William Bruce Famularo Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 Fax: 833-419-0181 | |
Mrs. Baljit Dhanjal Nagi, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1659 Scott Blvd Ste 30, Santa Clara, CA 95050 Phone: 140-824-4183 | |
Daniella Galaviz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Ms. Prescilla Danielle John, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 646-681-7506 | |
Kayla Brittney Schell, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Adrianna Lee Heads, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1889 Lawrence Rd, Santa Clara, CA 95051 Phone: 408-423-2000 | |
Mariah Ashley Romero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 |