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

Irma Leticia Vidales

Individual provider Community Health Worker · NPI 1497549869

Irma Leticia Vidales is a Community Health Worker in Fontana, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17053 Foothill Blvd
Fontana, CA 92335-3574
Phone: (909) 347-1341
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1497549869
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address303 E Vanderbilt Way, San Bernardino, CA 92415-0026

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