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

Vasco D Kidd, PA

Individual provider Physician Assistant · NPI 1396804019

Vasco D Kidd, PA is a Physician Assistant in Orange, California. Qualified in 2011, 15 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 880-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 — (909) 557-1600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16188 (CA)

Record details

NPI number1396804019
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address200 S Manchester Ave Ste 300, Orange, CA 92868-3219

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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