Individual provider · Type 1 NPI

Prizila Dajia Vidal, MPSS-LIADFM

Contractor · San Diego, CA

NPI number 1043795164 Active

Practice location

415 Laurel St Pmb 531
San Diego, CA 92101

Specialties and licenses

Taxonomy	Code	License
Contractor Primary	171W00000X	None listed
Homemaker	376J00000X	None listed
Community Health Worker	172V00000X	None listed
Peer Specialist	175T00000X	MPSS-LIADFM (CA)
Health & Wellness Coach	171400000X	DB365140CB (CA)
Addiction (Substance Use Disorder) Counselor	101YA0400X	23070 (CA)
Personal Care Attendant	3747P1801X	7506073033 (CA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1043795164

Prizila Dajia Vidal, MPSS-LIADFM's National Provider Identifier is 1043795164, issued on Sep 25, 2018. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in San Diego, CA. The record was last updated on May 30, 2026.