Active NPI
Vida Health Care P.C.
- Family Medicine Physician
- La Habra, CA
National Provider Identifier
1871887299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8311
- Legal business name
- VIDA HEALTH CARE P.C.
- Practice address
- 202 W. la Habra Blvd.
La Habra, CA 90631 - Phone
- (562) 694-0600
- Fax
- (562) 694-0611
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ginger Leon, D.O.
- Title
- Medical Director
- Phone
- (562) 694-0600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8311 | CA | Primary |
| Physician Assistant | 363A00000X | PA17187 | CA | |
| Medical Physician Assistant | 363AM0700X | PA17142 | CA |
Addresses
Primary practice location
202 W. la Habra Blvd.
La Habra, CA 90631
Mailing address
202 W. la Habra Blvd.
La Habra, CA 90631-5404
Phone (562) 694-0600
National Provider Directory
National Provider DirectoryLocations
202 W La Habra Blvd
La Habra, CA 90631
Phone (562) 267-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1871887299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W. LA HABRA BLVD.",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315404",
"telephone_number": "562-694-0600",
"fax_number": "562-694-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W. LA HABRA BLVD.",
"city": "LA HABRA",
"state": "CA",
"postal_code": "90631",
"telephone_number": "562-694-0600",
"fax_number": "562-694-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDA HEALTH CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "LEON",
"authorized_official_first_name": "GINGER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-694-0600",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8311",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17187",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA17142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.