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JORGE CAMILO MENDEZ VIDES
NPI 1679231807
Emergency Medical Technician, Basic in Tarzana, CA

Active since December 06, 2021
18321 CLARK ST, TARZANA, CA 91356(818) 708-5172 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jorge Camilo Mendez Vides NPPES

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

JORGE CAMILO MENDEZ VIDES (NPI 1679231807) is an individual emergency medical technician, basic provider in Tarzana, California, licensed in California (E144860) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1679231807
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameJORGE CAMILO MENDEZ VIDES
Location Address18321 CLARK STTarzana, CA 91356-3501
Mailing Address18321 Clark StTarzana, CA 91356-3501 · (818) 708-5172
Phone(818) 708-5172
Sole ProprietorNo
Enumeration DateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1679231807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in CA · E144860
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
18321 CLARK ST, Tarzana, CA 91356
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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.

DR. JONATHAN ANDREW PRINCE M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
ART ONCOLOGY INC
Radiology (Diagnostic Radiology)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (215) 313-0024
DR. NEIL ERIC CANBY M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KELLY ANN ARCHER KAMINSKI OTR/L
Occupational Therapist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
DR. FREDERICK THEODORE DENNIS M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KIMBERLY DANG PHAM
Pharmacist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
CAROL V GREENE NNP
Nurse Practitioner (Neonatal)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5242
CARMEN BOTERO, MD
Pediatrics (Pediatric Critical Care Medicine)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (208) 676-9080

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 Jorge Mendez Vides's NPI number?

The NPI number for Jorge Mendez Vides is 1679231807. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Jorge Mendez Vides located?

Jorge Mendez Vides practices at 18321 Clark St, Tarzana, CA 91356. The listed phone number is (818) 708-5172.

What is Jorge Mendez Vides's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Jorge Mendez Vides was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.