Individual provider Active NPI

Donald Vidana, RCP, RRT, NPS

  • Registered Respiratory Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1578821575
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
40763 Issued in CA
Practice address
6170 Winterberry PL
Rancho Cucamonga, CA 91739-9098
Phone
(951) 897-7972
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 13993 CA
Registered Respiratory Therapist 227900000X 40763 CA Primary
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X CA

Addresses

Primary practice location

6170 Winterberry PL
Rancho Cucamonga, CA 91739-9098

Mailing address

6170 Winterberry PL
Rancho Cucamonga, CA 91739-9098
Phone (951) 897-7972

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1578821575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 WINTERBERRY PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399098",
            "telephone_number": "951-897-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 WINTERBERRY PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399098",
            "telephone_number": "951-897-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDANA",
        "first_name": "DONALD",
        "credential": "RCP, RRT, NPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "13993",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "40763",
            "primary": true
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.