Active NPI
Jericha Mae Viduya
- Psychiatry Physician
- Orange, CA
National Provider Identifier
1376171603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A176721
- Practice address
- 3800 W Chapman Ave Ste 500
Orange, CA 92868-1638 - Phone
- (714) 456-5902
- Fax
- (816) 207-0693
- NPI assigned
- Mar 31, 2020
- Last updated
- Jun 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A176721 | CA | Primary |
Addresses
Primary practice location
3800 W Chapman Ave Ste 500
Orange, CA 92868-1638
Mailing address
101 The City Dr S BLDG 3
Orange, CA 92868-3201
Phone (714) 456-5770
Other practice location 1
403 N Susan St
Santa Ana, CA 92703-3433
Phone (714) 480-0025
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients | |
| John Henry Foundation | Past | Accepting new patients |
Interoperability endpoints
- jviduya150444@direct.llu.edu
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Santa Ana, CA
- NPI 1730422676
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1376171603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S BLDG 3",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 W CHAPMAN AVE STE 500",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681638",
"telephone_number": "714-456-5902",
"fax_number": "816-207-0693"
}
],
"practiceLocations": [
{
"address_1": "403 N Susan St",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927033433",
"country_code": "US",
"telephone_number": "714-480-0025",
"fax_number": "714-554-8770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIDUYA",
"first_name": "JERICHA",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A176721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.