Individual provider Active NPI

Judit Vidacs, PA

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1992519953
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10559 Issued in AZ
Practice address
1860 S Alma School Rd Ste 1
Chandler, AZ 85286-7078
Phone
(480) 361-1955
Fax
(480) 361-6549
NPI assigned
Feb 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10559 AZ Primary

Addresses

Primary practice location

1860 S Alma School Rd Ste 1
Chandler, AZ 85286-7078

Mailing address

1860 S Alma School Rd Ste 1
Chandler, AZ 85286-7078
Phone (480) 361-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10559AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
B Hive Medical LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

1860 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 361-1955

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.

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1992519953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867078",
            "telephone_number": "480-361-1955",
            "fax_number": "480-361-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867078",
            "telephone_number": "480-361-1955",
            "fax_number": "480-361-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDACS",
        "first_name": "JUDIT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.