Jenna K Vitale, D.A.O.M. , L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18678 Issued in CA

Practice address

6711 Forest Lawn Dr Ste 104
Los Angeles, CA 90068-1032

Phone

(818) 860-1314

NPI assigned

Sep 25, 2019

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart Based Health Acupuncture & Wellness

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1154911766
  NPD Authorized official

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1174174700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 FOREST LAWN DR STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681032",
            "telephone_number": "818-860-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 FOREST LAWN DR STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681032",
            "telephone_number": "818-860-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "JENNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.A.O.M. , L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Solutions Medical Group
• Vital Well
• Vital Well LLC (Vital Well)
• Steven Michael Vital, AMFT #113300
• Elizabeth M Vitale, RDN, CDCES
• Vitalheal, a Professional Corporation
• Vitality Health Group Inc
• Vitality Health Plus Medical Group
• Vitality Spark LLC
• Vitalreach DME Supplies LLC

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.