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MS. VIDA VICKERS PHYSICIAN ASSISTANT
NPI 1831493113
Physician Assistant in Pomona, CA

Active since December 31, 2010
2112 S GAREY AVE STE C, POMONA, CA 91766(909) 464-0520(909) 464-0523 Get Directions Write a Review

NPPES record last updated: December 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Vida Vickers Physician Assistant NPPES

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

MS. VIDA VICKERS PHYSICIAN ASSISTANT (NPI 1831493113) is an individual physician assistant in Pomona, California, licensed in California (PA20543) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1831493113
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. VIDA VICKERSCredential: PHYSICIAN ASSISTANT
Location Address2112 S GAREY AVE STE CPomona, CA 91766-5600
Mailing Address2112 S Garey Ave Ste CPomona, CA 91766-5600 · (909) 464-0520 · Fax (909) 464-0523
Phone(909) 464-0520
Fax(909) 464-0523
Sole ProprietorYes
Enumeration DateDecember 31, 2010
✔ NPI 1831493113 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 CA · PA20543
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.
2112 S GAREY AVE STE C, Pomona, CA 91766
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Other Providers at the Same Location NPPES

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

ST JOHN COMMUNITY HEALTH CENTER
Clinic/Center (Community Health)
2112 S GAREY AVE STE C
POMONA, CA 91766
Los Angeles County (909) 464-0520

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 Vickers's NPI number?

The NPI number for Vida Vickers is 1831493113. It was assigned to this individual provider in the NPPES registry on December 31, 2010.

Where is Vida Vickers located?

Vida Vickers practices at 2112 S Garey Ave Ste C, Pomona, CA 91766. The listed phone number is (909) 464-0520.

What is Vida Vickers'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 Vida Vickers was last updated on December 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.