VIDA SANA MEDICAL GROUP, INC.


Address: 781 N. Sequoia Ave, Suite 2, Lindsay, CA 93247-1422
Phone: 1559562939

VIDA SANA MEDICAL GROUP, INC. (NPI# 1356558787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356558787
Entity Type Organization
Organization Name VIDA SANA MEDICAL GROUP, INC.
Practice Address 781 N. Sequoia Ave
Suite 2
Lindsay
CA 93247-1422
Mailing Address 23222781 Sequoia Ave
Suite 2
Lindsay
CA 93247-1422
Practice Telephone 1559562939
Practice Fax Number 1559562937
Mailing Telephone 1559562939
Mailing Fax Number 1559562937
Enumeration Date 2007-05-16
Last Update Date 2020-08-22
Authorized Official Name DR. ANTONIO DURAZO (MEDICAL DIRECTOR)
Authorized Official Telephone 15595629399
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255360152 Vida Sana Medical Group, Inc. Family Medicine 755 N. Sequoia Ave., Suite B, Lindsay, CA 93247 2006-07-02

Office Location

Street Address 781 N. SEQUOIA AVE
SUITE 2
City LINDSAY
State CA
Zip Code 93247-1422

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1730467770 Turning Point Youth Services Community/Behavioral Health 460 W Hickory, Lindsay, CA 93247 2011-07-25
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1255360152 Vida Sana Medical Group, Inc. Family Medicine 755 N. Sequoia Ave., Suite B, Lindsay, CA 93247 2006-07-02
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City LINDSAY
Zip Code 93247

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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