Vitalis Wellness Center Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VITALIS WELLNESS CENTER INC.

Practice address

1519 Constitution Blvd Apt 201
Salinas, CA 93906-3150

Phone

(831) 240-4344

NPI assigned

Sep 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Inimbom Samuel, MDNPI 1992833099

Title

Ceo

Phone

(865) 765-8224

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel I Samuel, MD

  • Psychiatry Physician
  • Salinas, CA
  • NPI 1992833099
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1013523174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 CONSTITUTION BLVD APT 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CONSTITUTION BLVD APT 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063150",
            "telephone_number": "831-240-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "INIMBOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-765-8224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia M Vital
• Fernando Viveros Jr., ASW
• Nea L Vizcarra, LCSW
• Vladimir Benjamin D.D.S., Inc.
• Marc L Vonberg, MD
• Amy Votta-Fierro, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salinas, CA
• Providers in Salinas, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.