Organization Active NPI

Vida Health Care P.C.

  • Family Medicine Physician
  • La Habra, CA
National Provider Identifier
1871887299
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8311 Issued in CA
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

Updated by the provider on Jun 2, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A8311 CA Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA17187 CA
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.