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Active NPI 1831493113 Individual Practitioner Female Practitioner

Vida Vickers , PHYSICIAN ASSISTANT

Physician Assistant • Pomona, CA

Professional Overview & Biography Verified Profile Summary

Vida Vickers, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Pomona, CA. Practice services are available at 2112 S GAREY AVE STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2112 S Garey Ave Ste C

Pomona, CA 917665600

Telephone 9094640520
Fax 9094640523
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pomona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
186 Specialists

Practicing in Pomona, CA (14617 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA20543

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1215214325

NURSEPRACTITIONER

Maria Astillero , FNP

Nurse Practitioner - Family

NPI 1598380495

Family Nurse Practitioner

Erica Levy

Nurse Practitioner - Family

NPI 1790279081
Michael Gonzalez

Nurse Practitioner - Family

NPI 1790477875

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 31, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2010

Registered at 2112 S GAREY AVE STE C, POMONA, CA 917665600 (Tel: 9094640520)

📍
Updated Business Mailing Address December 31, 2010

Registered at 2112 S GAREY AVE STE C, POMONA, CA 917665600 (Tel: 9094640520)

👤
Provider Name / Credentials Updated December 31, 2010

Recorded as VIDA VICKERS, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2010

Physician Assistant (License #PA20543 in CA)

🟢
Initial NPI Registration & Enumeration December 31, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831493113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2010
Last Update: December 31, 2010
Sole Proprietor: Yes

Mailing Address

2112 S Garey Ave Ste C

Pomona, CA 917665600

Phone: 9094640520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.