Vida Family Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

190915AP Issued in CA

Legal business name

VIDA FAMILY SERVICES

Doing business as

The Valley Prevention & Treatment Center

Practice address

4419 Van Nuys Blvd
307
Sherman Oaks, CA 91403-2910

Phone

(818) 986-1161

NPI assigned

Dec 23, 2016

Organization subpart

No

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

Authorized official

Name

Nara Upton

Title

Billing

Phone

(626) 872-7344

Specialties & licenses 1

Addresses

Other names 1

• The Valley Prevention & Treatment Center Doing business as

Locations

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1902341118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD",
            "address_2": "307",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032910",
            "telephone_number": "818-986-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD",
            "address_2": "307",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032910",
            "telephone_number": "818-986-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "UPTON",
        "authorized_official_first_name": "NARA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "626-872-7344"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190915AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Valley Prevention & Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ventura Health Care Medical Clinic
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• Vicamin Home Health Inc
• Hayden Ashley Victor, MMFT
• Victory Hematology and Oncology Inc
• Vida Therapy Marriage Family and Child Counceling Inc. (Vida Therapy Inc.)
• Tyler Vida
• Vidacare
• Jennifer Vidrio
• Yovana Vielma, M.A.

• Substance Use Disorder Rehabilitation Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.