Vida Sana Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48642 Issued in CA

Legal business name

VIDA SANA MEDICAL GROUP, INC.

Practice address

755 N. Sequoia Ave.
Suite B
Lindsay, CA 93247

Phone

(559) 562-9399

Fax

(559) 562-9379

NPI assigned

Jul 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Cordova

Title

Administrator

Phone

(559) 562-9399

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Celaya, P.A.

  • Physician Assistant
  • Lindsay, CA
  • NPI 1124173786
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255360152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N. SEQUOIA AVE.",
            "address_2": "SUITE B",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "93247",
            "telephone_number": "559-562-9399",
            "fax_number": "559-562-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N. SEQUOIA AVE.",
            "address_2": "SUITE B",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "93247",
            "telephone_number": "559-562-9399",
            "fax_number": "559-562-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA SANA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-562-9399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edem Tom Udoh-Afaha, PHARM.D
• Julia J Valle, DDS
• Valley Healthcare Centers
• Valley Healthcare Centers (Sequoia Family Medical Center)
• Eduardo Ramon Vargas-Deleon, NP-C
• Vida Sana Medical Group, Inc.
• Natasha Anne Wright
• Gerardo Napoleon Zelaya, DDS

• Family Medicine Physician in Lindsay, CA
• Providers in Lindsay, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.