DAISY VIDRIO
NPI 1619544582
Counselor - Professional in Riverside, CA

Active since June 08, 2021PECOS Enrolled
9685 HAYES STREET, RIVERSIDE, CA 92503(951) 351-4418 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 1, 2022, Nov 4, 2021, Jun 8, 2021 (3 updates tracked since 2021).

About Daisy Vidrio NPPES

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

DAISY VIDRIO (NPI 1619544582) is an individual professional provider in Riverside, California, licensed in California (8631) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619544582
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDAISY VIDRIO
Location Address9685 HAYES STREETRiverside, CA 92503-9250
Mailing Address9685 Hayes StreetRiverside, CA 92503-2049 · (951) 351-4418
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 8, 2021
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1619544582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 8631
9685 HAYES STREET, Riverside, CA 92503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daisy Vidrio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486123726
PECOS Enrollment IDI20260515003267
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619544582, enumerated as an "individual" on June 08, 2021.

The provider is located at 9685 HAYES STREET RIVERSIDE, CA 92503 and the phone number is (951) 351-4418.

Counselor with taxonomy code 101YP2500X and a focus in Professional.