Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vida Medical of Delaware PA

Organization Mental Health Counselor · NPI 1003656844

Vida Medical of Delaware PA is a Mental Health Counselor in Carson, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20500 Belshaw Ave # EXCA1377
Carson, CA 90746-3506
Phone: (415) 989-1017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Registered Dietitian Taxonomy 133V00000X
Health & Wellness Coach Taxonomy 171400000X
Family Medicine Physician Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1003656844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Odonnell — Director, Qa And Compliance · (415) 989-1017
NPI enumeratedMay 29, 2024
Last updated in NPPESJuly 21, 2024
Certification dateJuly 21, 2024
Mailing address20500 Belshaw Ave # Exca1377, Carson, CA 90746-3506

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