Active NPI
Elena Vides
- Peer Specialist
- Palmdale, CA
National Provider Identifier
1053209312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 38345 30TH St E Ste C2
Palmdale, CA 93550-4982 - Phone
- (661) 461-7465
- NPI assigned
- Jun 25, 2025
- Last updated
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary | ||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
38345 30TH St E Ste C2
Palmdale, CA 93550-4982
Mailing address
43618 Easy St
Lancaster, CA 93535-5600
Phone (661) 998-6567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parents Anonymous Inc. | Current | Accepting new patients |
Locations
38345 30th St E
Ste C2
Palmdale, CA 93550
Phone (661) 418-2871
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Parents Anonymous Antelope Valley
- Marriage & Family Therapist
- Palmdale, CA
- NPI 1871324046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1053209312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43618 EASY ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935355600",
"telephone_number": "661-998-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38345 30TH ST E STE C2",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504982",
"telephone_number": "661-461-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDES",
"first_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.