EMANUEL ALEXANDER VIDAL
NPI 1760044127
Student in an Organized Health Care Education/Training Program in San Dimas, CA

Active since July 05, 2019
762 CYPRESS ST, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2019, Jul 5, 2019 (2 updates tracked since 2019).

About Emanuel Alexander Vidal NPPES

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

EMANUEL ALEXANDER VIDAL (NPI 1760044127) is an individual student in an organized health care education/training program in San Dimas, California and active in the NPI registry since July 2019. He maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1760044127
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEMANUEL ALEXANDER VIDAL
Location Address762 CYPRESS STSan Dimas, CA 91773-3505
Mailing Address762 Cypress StSan Dimas, CA 91773-3505 · (909) 599-1227
Sole ProprietorYes
Enumeration DateJuly 5, 2019
Last NPPES UpdateOctober 2, 20192 updates tracked since enumeration
NPI 1760044127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
762 CYPRESS ST, San Dimas, CA 91773

Secondary Practice Location 1

Location 129019 Carillo CtMoreno Valley, CA 92555-6501 · Phone (951) 488-0611

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.

Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Counselor
762 CYPRESS ST
SAN DIMAS, CA 91773
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Adult Companion
762 CYPRESS ST
SAN DIMAS, CA 91773

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 Emanuel Vidal's NPI number?

The NPI number for Emanuel Vidal is 1760044127. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Emanuel Vidal located?

Emanuel Vidal practices at 762 Cypress St, San Dimas, CA 91773. The listed phone number is (909) 599-1227.

What is Emanuel Vidal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Emanuel Vidal was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.