Vitality Medical Spa Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALITY MEDICAL SPA INC.

Practice address

1221 Rose Ave
Selma, CA 93662-3227

Phone

(559) 325-4447

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leticia Escoto, MDNPI 1649387309

Title

Ceo

Phone

(559) 334-4143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leticia Escoto, MD

  • Emergency Medicine Physician
  • Fresno, CA
  • NPI 1649387309

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1053287664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936310340",
            "telephone_number": "559-325-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623227",
            "telephone_number": "559-325-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL SPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "ESCOTO",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-334-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Pharmacy Inc (Village Pharmacy)
• Sayra Michel Villagomez, PPS
• Lola Violante
• Virender S. Kaleka, M.D. (Selma Rural Health Clinic)
• Vision Care Center, a Medical Group, Inc (Eye-Q Vision Care)
• Walgreen Co (Walgreens #12337)
• Walmart Inc. (Walmart Pharmacy 10-1882)
• Delano Isaac Walters, CRNA
• Brielle Warren
• Deanna Aileen Waugh, PSY.D.

• Family Medicine Physician in Selma, CA
• Providers in Selma, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.