Rosalba Vidal

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

140765 Issued in CA

Practice address

25078 Everett Dr
Newhall, CA 91321-3406

Phone

(166) 621-5097

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1306698774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25078 EVERETT DR",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913213406",
            "telephone_number": "166-621-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 EVERETT DR",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913213406",
            "telephone_number": "166-621-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ROSALBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiana Vela
• Christopher Michael Velez II, N.P.
• Azucena Velis
• Vera Home Healthcare Inc
• Emma Payton Victorino
• Vidya Pharma Inc (SCV Pharmacy)
• Leshel Vines, BA, RBT
• Vip Compounding Pharmacy Corp (Lyons Pharmacy & Compounding Lab)
• Vista Psychological Center Inc (Vista Center for Behavior Analysis)
• Vista Psychological Center, Inc (Vista Center for Behavior Analysis)

• Marriage & Family Therapist in Newhall, CA
• Providers in Newhall, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.