Prizila Dajia Vidal, MPSS-LIADFM
NPI 1043795164ActiveIndividual· Contractor· San Diego, CA
Contractor (MPSS-LIADFM) in San Diego, California, licensed in CA, with an NPI issued in September 2018.
Overview
| NPI | 1043795164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPSS-LIADFM |
| Sole proprietor | Yes |
| NPI issued | Sep 25, 2018 |
| Last updated in NPPES | May 30, 2026 |
| Certified by provider | May 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | — | — |
| Homemaker | 376J00000X | — | — |
| Community Health Worker | 172V00000X | — | — |
| Peer Specialist | 175T00000X | MPSS-LIADFM | CA |
| Health & Wellness Coach | 171400000X | DB365140CB | CA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 23070 | CA |
| Technician, Personal Care Attendant | 3747P1801X | 7506073033 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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