Organization Active NPI

Ja PLLC

Doing business as VitalBridge Home

  • Primary Care Clinic/Center
  • Woodbury, MN
National Provider Identifier
1083526024
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JA PLLC
Doing business as
VitalBridge Home
VitalBridge Primary Care
Practice address
11318 Beechwood Lane
Woodbury, MN 55129
Phone
(612) 293-6855
Fax
(651) 369-5639
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Joseph Aziz, MD
Title
Owner
Phone
(612) 293-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

11318 Beechwood Lane
Woodbury, MN 55129

Mailing address

2501 Chatham Rd Ste 6524
Springfield, IL 62704-4188
Phone (612) 293-6855

Other names 2

  • VitalBridge Home Doing business as
  • VitalBridge Primary Care Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1083526024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE 6524",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "612-293-6855",
            "fax_number": "651-369-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11318 BEECHWOOD LANE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55129",
            "telephone_number": "612-293-6855",
            "fax_number": "651-369-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-293-6855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitalBridge Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VitalBridge Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.