Individual provider · Type 1 NPI

Cristina Vega, PA

Surgical Physician Assistant · Clovis, CA

NPI number 1417566514 Active

Practice location

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205

Fax (559) 320-0539

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X58102 (CA)
Physician Assistant 363A00000X58102 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1417566514

Cristina Vega, PA's National Provider Identifier is 1417566514, issued on Jul 24, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clovis, CA. The record was last updated on Oct 1, 2026.