Vital Path Health Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VITAL PATH HEALTH SERVICES

Practice address

1621 Central Ave
Cheyenne, WY 82001-4531

Phone

(818) 517-8743

NPI assigned

Oct 2, 2025

Organization subpart

No

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

Authorized official

Name

Peter Simonian

Title

Ceo

Phone

(818) 517-8743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Samantha Camille De la Cruz Kasingsing, NP

  • Family Nurse Practitioner
  • Porter Ranch, CA
  • NPI 1477349363
  Medicare reassignment
• Erlinda Dy Grey, M.D.

  • Ph.D. Medical Genetics
  • Panorama City, CA
  • NPI 1356568752
  NPD

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1134093180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CENTRAL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CENTRAL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014531",
            "telephone_number": "818-517-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PATH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "SIMONIAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-517-8743"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Villeneuve
• Alyssa Nicole Virgil
• Virtuwell Telehealth LLC (VirtuLife Health)
• Vision Ayuda, Inc. (Pediatric Dentistry)
• Vital Medical Supply LLC
• Vitality Dental, LLC
• Vitalmed Supply LLC
• Alyssa Vogel
• Alana Marie Vogt, MD
• Jeffrey Volkmann, PH.D., ABPP

• Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.