1. Home
  2. Directory
  3. California
  4. Rancho Mirage
  5. Physician Assistant
  6. NPI Profile

KEVIN A VIDA PA C
NPI 1023000122
Physician Assistant in Rancho Mirage, CA

Active since August 16, 2005
39000 BOB HOPE DRIVE, HARRY & DIANE RINKER BUILDING, RANCHO MIRAGE, CA 92270(760) 568-2684(760) 837-2259 Get Directions Write a Review

NPPES record last updated: April 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin A Vida Pa C NPPES

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

KEVIN A VIDA PA C (NPI 1023000122) is an individual physician assistant in Rancho Mirage, California, licensed in Connecticut (000867) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1023000122
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN A VIDACredential: PA C
Location Address39000 BOB HOPE DRIVE, HARRY & DIANE RINKER BUILDINGRancho Mirage, CA 92270-3221
Mailing AddressP.o. Box 1730Rancho Mirage, CA 92270-1058 · (760) 568-2684 · Fax (760) 837-2202
Phone(760) 568-2684
Fax(760) 837-2259
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateApril 17, 2012
✔ NPI 1023000122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 000867
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
39000 BOB HOPE DRIVE, Rancho Mirage, CA 92270
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS81880
Medicare ID-Type Unspecified970000668CT

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.

ISABEL G CARLOS
Health Educator
39000 BOB HOPE DRIVE, PROBST 100B
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-1403
SAY THAO PA-C
Physician Assistant (Medical)
39000 BOB HOPE DRIVE, HARRY AND DIANE RINKER BLG
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-2684
ANDRE P MENDOZA ARABE
Student in an Organized Health Care Education/Training Program
39000 BOB HOPE DRIVE, ACHS-GME OFFICE STE. 201
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-4504
SCOTT MICHAEL WIDYN
Physical Therapist
39000 BOB HOPE DRIVE
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-2033
MS. EMILY GROVES-NEMATI MSN, RN, PHN
Health Educator
39000 BOB HOPE DRIVE, PROBST SUITE 100B
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-1404
MICHAEL A FARRAJ DO
Student in an Organized Health Care Education/Training Program
39000 BOB HOPE DRIVE, ACHS-GME OFFICE
RANCHO MIRAGE, CA 92270
Riverside County (760) 333-1813
CHANAKA DINESHA WICKRAMASINGHE M.D
Internal Medicine (Cardiovascular Disease)
39000 BOB HOPE DRIVE, HAL B. WALLIS BLDG
RANCHO MIRAGE, CA 92270
Riverside County (760) 346-0642
DESERT NEUROLOGY MEDICAL GROUP
Psychiatry & Neurology (Neurology)
39000 BOB HOPE DRIVE, PROBST BLDG 311
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-3563

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 Kevin Vida's NPI number?

The NPI number for Kevin Vida is 1023000122. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Kevin Vida located?

Kevin Vida practices at 39000 Bob Hope Drive Harry & Diane Rinker Building, Rancho Mirage, CA 92270. The listed phone number is (760) 568-2684.

What is Kevin Vida's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kevin Vida was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.