Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRIZILA DAJIA VIDAL, MPSS-LIADFM
Active Sole ProprietorPRIZILA DAJIA VIDAL, MPSS-LIADFM is a Contractor healthcare provider located in SAN DIEGO, California. NPI 1043795164 is currently active in the NPPES registry. Verify at CMS.
Contractor · SAN DIEGO, CA
Registration Details
- NPI Number
- 1043795164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2018 (7.921377147315 yrs)
- Last Updated
- Dec 25, 2025
- Licenses
-
DB365140CB (CA)24-QMHS-I-0008 (CA)MPSS-LIADFM (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 LAUREL ST PMB 531SAN DIEGO, CA, 92101Browse CA providers · Browse ZIP 92101
- Phone
- 6197554737
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Contractor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Peer Specialist
Other Contractor Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ANNE M MCLEAN | — | 1538188537 |
| THERESE ANNE-COLLINS GREEN | PTA | 1134246648 |
| KATRINA SAN NICOLAS | — | 1548443336 |
| MRS. JOSEFINA ODULIO BAUTISTA | MEDICAL ASSISTANT | 1902062748 |
| MRS. ISIS BURAKOM RUTLEDGE | LMT | 1235372020 |
| ZARAH PIMENTEL | — | 1104145721 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.