Vida Wellness Medical Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VIDA WELLNESS MEDICAL CENTER INC

Practice address

5449 Tunis Ave
Las Vegas, NV 89122-7230

Phone

(541) 905-0544

NPI assigned

Nov 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Pilar Brito-SanchezNPI 1003461914

Title

Administrator

Phone

(541) 905-0544

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Pilar Brito Sanchez

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1003461914
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1023726346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 TUNIS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227230",
            "telephone_number": "541-905-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 TUNIS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227230",
            "telephone_number": "541-905-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA WELLNESS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "BRITO-SANCHEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PILAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-905-0544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Transportation LLC
• Brian D Vicuna, MD
• Emma C Vicuna, OD
• Vida Chiropractic Injury Clinic and Wellness Center
• Vida Wellness Center
• Aliea Vida
• Marilyn Ninonuevo Vidad, RN
• Lina Vidal Garcia
• Rosa Linda Vidal Sarmiento
• Karla Suscely Vidal-Santisteban

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.