Active NPI
Vitaledge Care LLC
- Durable Medical Equipment & Medical Supplies
- Westminster, CA
National Provider Identifier
1003732355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VITALEDGE CARE LLC
- Practice address
- 14340 Bolsa Chica Rd Ste J-1
Westminster, CA 92683-4868 - Phone
- (071) 472-3995
- NPI assigned
- Jun 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Son
- Title
- Manager
- Phone
- (071) 472-3995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14340 Bolsa Chica Rd Ste J-1
Westminster, CA 92683-4868
Mailing address
14340 Bolsa Chica Rd Ste J-1
Westminster, CA 92683-4868
Phone (071) 472-3995
National Provider Directory
National Provider DirectoryLocations
14340 Bolsa Chica Rd
Ste J1
Westminster, CA 92683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1003732355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14340 BOLSA CHICA RD STE J-1",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834868",
"telephone_number": "071-472-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14340 BOLSA CHICA RD STE J-1",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834868",
"telephone_number": "071-472-3995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALEDGE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "SON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "071-472-3995"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.