Organization Active NPI

The Vidal Womans Medical Clinic Inc.

  • Adult Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1235033358
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
THE VIDAL WOMANS MEDICAL CLINIC INC.
Practice address
1511 S Vermont Ave
Los Angeles, CA 90006-4505
Phone
(323) 755-5500
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE VIDAL WOMANS MEDICAL CLINIC INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Authorized official

Name
Isaias Paja Jr.
Title
MD
Phone
(323) 755-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

1511 S Vermont Ave
Los Angeles, CA 90006-4505

Mailing address

1601 N Sepulveda Blvd # 400
Manhattan Beach, CA 90266-5111

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1235033358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N SEPULVEDA BLVD # 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064505",
            "telephone_number": "323-755-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VIDAL WOMANS MEDICAL CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VIDAL WOMANS MEDICAL CLINIC INC.",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "PAJA",
        "authorized_official_first_name": "ISAIAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-755-5500",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.