VIDA MEDICAL OF DELAWARE PA
NPI 1003656844
Clinic/Center - Multi-Specialty in Carson, CA

Active since May 29, 2024
20500 BELSHAW AVE # EXCA1377, CARSON, CA 90746(415) 989-1017 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vida Medical Of Delaware Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDA MEDICAL OF DELAWARE PA (NPI 1003656844) is a healthcare organization registered as a multi-specialty in Carson, California and active in the NPI registry since May 2024. The organization lists Jacqueline Odonnell, Director, Qa And Compliance, as its authorized official.

NPPES Registry Identity

NPI1003656844
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVIDA MEDICAL OF DELAWARE PA
Location Address20500 BELSHAW AVE # EXCA1377Carson, CA 90746-3506
Mailing Address20500 Belshaw Ave # Exca1377Carson, CA 90746-3506
Organization SubpartNo
Authorized OfficialJacqueline OdonnellDirector, Qa And Compliance · (415) 989-1017
Enumeration DateMay 29, 2024
Last NPPES UpdateJuly 21, 2024
NPPES CertifiedJuly 21, 2024
NPI 1003656844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
20500 BELSHAW AVE # EXCA1377, Carson, CA 90746

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Health and Wellness Coach
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Health and Wellness Coach
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Dietitian, Registered
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Health and Wellness Coach
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Health and Wellness Coach
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Dietitian, Registered
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746
Health and Wellness Coach
20500 BELSHAW AVE # EXCA1377
CARSON, CA 90746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vida Medical Of Delaware PA's NPI number?

The NPI number for Vida Medical Of Delaware PA is 1003656844. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Vida Medical Of Delaware PA located?

Vida Medical Of Delaware PA is located at 20500 Belshaw Ave # Exca1377, Carson, CA 90746. The listed phone number is (415) 989-1017.

What is Vida Medical Of Delaware PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Vida Medical Of Delaware PA was last updated on July 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.