Organization Active NPI

Vital Med Health Solutions Apc

  • Pain Medicine (Anesthesiology) Physician
  • Irvine, CA
National Provider Identifier
1144862517
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
VITAL MED HEALTH SOLUTIONS APC
Practice address
15375 Barranca Pkwy Ste I101
Irvine, CA 92618-2209
Phone
(949) 551-0868
Fax
(866) 678-5321
NPI assigned
Oct 17, 2019
Last updated
Oct 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
John E Bohm, MD
Title
Ceo
Phone
(949) 551-0868

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Pain Clinic/Center 261QP3300X
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

15375 Barranca Pkwy Ste I101
Irvine, CA 92618-2209

Mailing address

15375 Barranca Pkwy Ste I101
Irvine, CA 92618-2209
Phone (949) 551-0868

National Provider Directory

National Provider Directory

Locations

15375 Barranca Pkwy
Ste I101
Irvine, CA 92618
Phone (949) 551-0868

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1144862517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE I101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182209",
            "telephone_number": "949-551-0868",
            "fax_number": "866-678-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE I101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182209",
            "telephone_number": "949-551-0868",
            "fax_number": "866-678-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MED HEALTH SOLUTIONS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "BOHM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-551-0868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.