VITALIS WELLNESS CENTER INC. (NPI# 1013523174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013523174 |
| Entity Type | Organization |
| Organization Name | VITALIS WELLNESS CENTER INC. |
| Practice Address |
1519 Constitution Blvd Apt 201 Salinas CA 93906-3150 |
| Practice Telephone | 8312404344 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | DR. SAMUEL INIMBOM SAMUEL (CEO) |
| Authorized Official Telephone | 8657658224 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1519 CONSTITUTION BLVD APT 201 |
| City | SALINAS |
| State | CA |
| Zip Code | 93906-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618883 | Casandra Andrea Gonzales | Case Manager/Care Coordinator | 1441 Constitution Blvd Building 400 Suite 202, Salinas, CA 93906 | 2020-08-05 |
| 1033730734 | Georgina Rodriguez | Behavioral Analyst | 1441 Constituion Blvd Bldg 400, Suite 202, Salinas, CA 93906 | 2020-05-04 |
| 1083252589 | Diane M Cassam | Marriage & Family Therapist | 1441 Constitution Blvd., Bldg. 400, Suite 200, Salinas, CA 93906 | 2019-12-16 |
| 1558849349 | Heather Lynne Rogers | Counselor | 1441 Constitution Blvd., Bldg. 400, Ste 202, Salinas, CA 93906 | 2018-08-02 |
| 1053897462 | Mayra Lizeth Barocio | Counselor | 1441 Constitution Blvd Bldg 4002, Salinas, CA 93906 | 2018-07-18 |
| 1720571425 | Ashley A Rangel | Behavior Technician | 1123 Baldwin St., Salinas, CA 93906 | 2018-06-07 |
| 1013419597 | Sean Crow | Behavior Technician | 1123 Baldwin, Salinas, CA 93906 | 2018-03-01 |
| 1942720164 | Joshua Lawrence Deutsch | Student in an Organized Health Care Education/Training Program | 1441 Constutution Blvd, Blg 400, Third Floor, Salinas, CA 93906 | 2017-06-20 |
| 1679014450 | Chris Moreno | Counselor | 1127 Baldwin St., Suite A, Salinas, CA 93906 | 2017-03-14 |
| 1295101657 | Craig Varjian | Dentist | 640 E. Alvin Drive, Suite D, Salinas, CA 93906 | 2015-08-19 |
| Find all providers in zip 93906 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1508221490 | Monterey County Behavioral Health | Clinic/Center | 1441 Constitution Blvd Bldg 400, Ste 202, Salinas, CA 93906-3100 | 2015-12-21 |
| 1730565656 | Monterey County Behavioral Health | Clinic/Center | 1441 Constitution Blvd Bldg 400, Suite 202, Salinas, CA 93906-3100 | 2015-08-03 |
| 1902174352 | Monterey County Behavioral Health | Clinic/Center | 1441 Constitution Blvd, Bldg 400, Ste 200, Salinas, CA 93906-3100 | 2011-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.