Organization Active NPI

Vilma L Hidalgo, MD, Inc.

  • Psychiatry Physician
  • Manteca, CA
National Provider Identifier
1558817031
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A91436 Issued in CA
Legal business name
VILMA L HIDALGO, MD, INC.
Practice address
903 W Center St
Suite 6
Manteca, CA 95337-7315
Phone
(209) 855-4577
Fax
(209) 565-8506
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Dr. Vilma L Hidalgo, M.D.
Title
Owner/President
Phone
(209) 855-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A91436 CA Primary

Addresses

Primary practice location

903 W Center St
Suite 6
Manteca, CA 95337-7315

Mailing address

903 W Center St
Suite 6
Manteca, CA 95337-7315
Phone (209) 855-4577

National Provider Directory

National Provider Directory

Locations

903 W Center St
Ste 6
Manteca, CA 95337
Phone (209) 855-4577

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1558817031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST",
            "address_2": "SUITE 6",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-855-4577",
            "fax_number": "209-565-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W CENTER ST",
            "address_2": "SUITE 6",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377315",
            "telephone_number": "209-855-4577",
            "fax_number": "209-565-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILMA L HIDALGO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "209-855-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A91436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.