Vida Hospice Southern California Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIDA HOSPICE SOUTHERN CALIFORNIA INC.

Practice address

95 E San Ysidro Blvd Ste C
San Diego, CA 92173-2616

Phone

(224) 558-9705

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Amando Silva Jr.

Title

Administrator

Phone

(224) 558-9705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1407451669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E SAN YSIDRO BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921732616",
            "telephone_number": "224-558-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E SAN YSIDRO BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921732616",
            "telephone_number": "224-558-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOSPICE SOUTHERN CALIFORNIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "AMANDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-558-9705",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor X Crawford DDS Inc
• Laurie Victor, LVN
• Victoria L. Wooden, Registered Nursing Inc.
• Victoria Lin, M.D., Inc.
• Laura Denise Victoria
• Hadembes James Vida Malik
• Leandro Aaron Vidal
• Logan Robert Vidal, DO
• Martha Karina Vidal
• Prizila Dajia Vidal, MPSS-LIADFM

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.