VIDAL MEDICAL OFFICE PLC NPI 1023112760

NPI Information

  • NPI: 1023112760
  • Provider Name: VIDAL MEDICAL OFFICE PLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 03D1067930
  • Address: 21300 N JOHN WAYNE PKWY
    UNIT 116 BLDG 7
    MARICOPA, AZ
    ZIP 85139
  • Phone: (520) 423-9699

Map and Directions

Get Directions

NPI Details

VIDAL MEDICAL OFFICE PLC is an adult medicine family medicine in Maricopa, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. VIDAL MEDICAL OFFICE PLC NPI is 1023112760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21300 N JOHN WAYNE PKWY
UNIT 116 BLDG 7
MARICOPA, AZ
ZIP 85139-979
Phone: (520) 423-9699
Fax: (520) 423-9599

The provider's authorized official is Hilda Flores-vidal .
The authorized official title is Owner and has the following contact phone number (520) 423-9699.

The CLIA number assigned to this NPI record is 03D1067930 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 4/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1313021OTHERARIZONAAHCCCS #
2Z117076MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI