Irma Leticia Vidales
Community Health Worker in Fontana, CA. Individual provider (NPI-1).
NPI number1497549869
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1497549869
- Entity type
- Individual (NPI-1)
- Name
- Irma Leticia Vidales
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2025
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
17053 Foothill BlvdFontana, CA 92335-3574
Phone 909-347-1341
Mailing address
303 E Vanderbilt WaySan Bernardino, CA 92415-0026
Phone 888-743-1478
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Health Worker providers in Fontana, CA
- Adriana Aguilera Alvarez, CHWNPI 1346014057
- Jazmin Alvarez, CHWNPI 1295593945
- Adrian James AngeloNPI 1619847506
- Napoleon Xavier AraujoNPI 1205714433
- Julie ArzateNPI 1871463786
- Pearl Marie BenitezNPI 1962277848
- Sarah BertadilloNPI 1366293524
- Rafael BritoNPI 1720966955
- Doris Jean BrownNPI 1013757079
- Abigail C CanedoNPI 1225805658
All 42 Community Health Worker providers in Fontana · All 3,550 providers in Fontana
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.