VIDA MEDICAL, NEW JERSEY, P.C. NJ
NPI 1265208052
Clinic/Center - Multi-Specialty in San Francisco, CA

Active since December 01, 2023
100 MONTGOMERY ST STE 750, SAN FRANCISCO, CA 94104(845) 721-6214 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vida Medical, New Jersey, P.c. Nj NPPES

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

VIDA MEDICAL, NEW JERSEY, P.C. NJ (NPI 1265208052) is a healthcare organization registered as a multi-specialty in San Francisco, California and active in the NPI registry since December 2023. The organization lists Jacqueline Odonnell, Sr. Manager, Compliance, as its authorized official.

NPPES Registry Identity

NPI1265208052
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVIDA MEDICAL, NEW JERSEY, P.C. NJ
Location Address100 MONTGOMERY ST STE 750San Francisco, CA 94104-4302
Mailing Address100 Montgomery St Ste 750San Francisco, CA 94104-4302 · (845) 721-6214
Organization SubpartNo
Authorized OfficialJacqueline OdonnellSr. Manager, Compliance · (845) 721-6214
Enumeration DateDecember 1, 2023
Last NPPES UpdateJuly 21, 2024
NPPES CertifiedJuly 21, 2024
NPI 1265208052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
100 MONTGOMERY ST STE 750, San Francisco, CA 94104

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 4

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

Clinic/Center (Multi-Specialty)
100 MONTGOMERY ST STE 750
SAN FRANCISCO, CA 94104
Dietitian, Registered
100 MONTGOMERY ST STE 750
SAN FRANCISCO, CA 94104
Counselor (Mental Health)
100 MONTGOMERY ST STE 750
SAN FRANCISCO, CA 94104
Clinic/Center (Multi-Specialty)
100 MONTGOMERY ST STE 750
SAN FRANCISCO, CA 94104

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, New Jersey, P.C. Nj's NPI number?

The NPI number for Vida Medical, New Jersey, P.C. Nj is 1265208052. It was assigned to this organization in the NPPES registry on December 1, 2023.

Where is Vida Medical, New Jersey, P.C. Nj located?

Vida Medical, New Jersey, P.C. Nj is located at 100 Montgomery St Ste 750, San Francisco, CA 94104. The listed phone number is (845) 721-6214.

What is Vida Medical, New Jersey, P.C. Nj'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, New Jersey, P.C. Nj was last updated on July 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.