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

Branka Vidic

Individual provider Family Nurse Practitioner · NPI 1164112942

Branka Vidic is a Nurse Practitioner in LA Quinta, California. Qualified in 2022, 4 years ago. Practices with County of Riverside, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023

Practice location Address checks out

47110 Washington St Ste 203
LA Quinta, CA 92253-2186
Phone: (760) 564-9205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025028 (CA)

Record details

NPI number1164112942
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing addressPo Box 7278, La Quinta, CA 92248-7278

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Quinta