Active NPI
Ja PLLC
Doing business as VitalBridge Home
- Primary Care Clinic/Center
- Woodbury, MN
National Provider Identifier
1083526024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 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
- Joseph Aziz, MD
- Title
- Owner
- Phone
- (612) 293-6855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- VitalBridge Primary Care
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.