Vida Medical PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VIDA MEDICAL PC

Practice address

100 Montgomery St Ste 750
San Francisco, CA 94104-4302

Phone

(855) 442-5885

Fax

(833) 319-5327

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Scahill, MD

Title

President

Phone

(855) 442-5885

Specialties & licenses 4

Addresses

Other names 1

• Vida PC Doing business as

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1265050595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MONTGOMERY ST STE 750",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044302",
            "telephone_number": "855-442-5885",
            "fax_number": "833-319-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONTGOMERY ST STE 750",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044302",
            "telephone_number": "855-442-5885",
            "fax_number": "833-319-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "SCAHILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-442-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vida PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy Joseph Victor, M.D.
• Victoria E Huff DC
• Victoria Reyzelman
• Cleopatra Victoria, MFT
• Vida Health, Inc.
• Vida Medical, New Jersey, P.C. NJ
• Vida Medical, P.a. Ka
• Grecya Nadir Odette Vidal Zavala
• Edree Vidal
• Genevieve Vidal

• Multi-Specialty Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.