Active NPI
Vilma Lumahan Hidalgo, M.D
- Psychiatry Physician
- Manteca, CA
National Provider Identifier
1689735888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A91436
- Practice address
- 250 Cherry LN
Suite 111
Manteca, CA 95337-4395 - Phone
- (209) 855-4577
- Fax
- (209) 565-8506
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | A91436 | CA | Primary |
Addresses
Primary practice location
250 Cherry LN
Suite 111
Manteca, CA 95337-4395
Mailing address
250 Cherry LN
Suite 111
Manteca, CA 95337-4395
Phone (209) 855-4577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 7, 2015 through Dec 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91436 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD, Psychiatry Associates, P.C. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1346483682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1689735888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CHERRY LN",
"address_2": "SUITE 111",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374395",
"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": "250 CHERRY LN",
"address_2": "SUITE 111",
"city": "MANTECA",
"state": "CA",
"postal_code": "953374395",
"telephone_number": "209-855-4577",
"fax_number": "209-565-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "VILMA",
"middle_name": "LUMAHAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_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 Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.