Elitemed Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ELITEMED SERVICES

Practice address

1412 Florida St
Vallejo, CA 94590-5309

Phone

(661) 741-1600

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bright Afawubo

Title

Ceo

Phone

(661) 741-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1154227007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FLORIDA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 FLORIDA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905309",
            "telephone_number": "661-741-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEMED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "AFAWUBO",
        "authorized_official_first_name": "BRIGHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-741-1600"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.