Vida Medical Center, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VIDA MEDICAL CENTER, INC

Practice address

16127 Foothill Blvd
Fontana, CA 92335-3374

Phone

(909) 429-8000

Fax

(909) 429-8705

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Armen Yeghia Nerseccian, D.O.

Title

Medical Director

Phone

(909) 429-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1629205422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16127 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353374",
            "telephone_number": "909-429-8000",
            "fax_number": "909-429-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16127 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353374",
            "telephone_number": "909-429-8000",
            "fax_number": "909-429-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "NERSECCIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_middle_name": "YEGHIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-429-8000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hermina Quion Verde, M.D.
• Johanna Verduzco, LVN
• Noel S. Victor, MD
• Rosalind Eyvette Victor
• Olga Vicuna, MSW
• Irma Leticia Vidales
• Katie Viehmann-Wical, MPH, MCHES, RCP, RRT
• Monica Esther Viera, CNM
• Joseph Gabriel Villa
• Neyda Villalobos

• General Practice Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.