Virtue Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VIRTUE MEDICAL

Practice address

15721 Pomerado Rd
Poway, CA 92064-2021

Phone

(949) 973-3704

Fax

(760) 400-4075

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Justin Davis

Title

Coo

Phone

(949) 973-3704

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Florianne Reynoso, C-HEALTHCOACH

  • Health & Wellness Coach
  • Poway, CA
  • NPI 1699537415
  NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1073124111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 AVENIDA PICO # I-292",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735639",
            "telephone_number": "949-973-3704",
            "fax_number": "760-400-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642021",
            "telephone_number": "949-973-3704",
            "fax_number": "760-400-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-973-3704"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Villa
• Dalia Villa
• Susana Elizabeth Villalpando, MA, LMFT
• Christian Villasenor
• Nallely Villegas
• Rene Volschenk, RPH
• Sandra Marie Vought, LCSW
• Vrijesh S Tantuwaya, MD, Inc
• Tommy Vuong
• Joycelyn Wade

• Primary Care Clinic/Center in Poway, CA
• Providers in Poway, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.