VITALITY MEDICAL CENTER INC (NPI# 1184198442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184198442 |
| Entity Type | Organization |
| Organization Name | VITALITY MEDICAL CENTER INC |
| Practice Address |
1648 W Glenoaks Blvd # 101 Glendale CA 91201-1827 |
| Practice Telephone | 8188050005 |
| Practice Fax Number | 8188050050 |
| Mailing Telephone | 8188050005 |
| Mailing Fax Number | 8188050050 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | LILIA SEROBIAN (SECRETARY) |
| Authorized Official Telephone | 8188050005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CORPORATION NUMBER | C4208588 | 01 |
| Street Address |
1648 W GLENOAKS BLVD # 101 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682596 | Prime Family Clinic Inc | General Practice | 1110 S Glendale Ave, E, Glendale, CA 91205-5617 | 2015-06-19 |
| 1902164320 | Lotus Medical Group | General Practice | 541 W Colorado St Ste 205, Glendale, CA 91204-3640 | 2012-04-24 |
| 1023390770 | Armen Nercessian Do Inc | General Practice | 1122 N Brand Blvd Ste 101, Glendale, CA 91202-2571 | 2011-09-19 |
| 1609165992 | Leslie Moss Kalman | General Practice | 1015 Hillcroft Rd, Glendale, CA 91207-1541 | 2011-04-07 |
| 1184934648 | Luis A Perez Md Inc | General Practice | 1220 S Central Ave Ste 102, Glendale, CA 91204-3805 | 2010-10-18 |
| 1457676793 | Elizabeth Remedios Md Inc | General Practice | 423 W Colorado St, Glendale, CA 91204-1537 | 2010-03-30 |
| 1174855480 | Abdelgabar Mohamed Mohamdian | General Practice | 8528 N 43rd Dr, Glendale, AZ 85302-5302 | 2010-02-11 |
| 1578892808 | Alber Karamanoukian | General Practice | 800 S Central Ave., Glendale, CA 91204-2902 | 2009-12-16 |
| 1376871566 | Agababian Medical Clinic, Inc | General Practice | 800 S Central Ave Ste 301, Glendale, CA 91204-4388 | 2009-11-26 |
| 1174857791 | Triad Clinic Pllc | General Practice | 4902 W Ironwood Dr, Glendale, AZ 85302-2402 | 2009-09-29 |
| Find all providers in GLENDALE | ||||
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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.