Viteledoc LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITELEDOC LLC

Practice address

933 3Rd St
Crescent City, CA 95531-4302

Phone

(707) 343-8884

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Dustin JacotNPI 1699023077

Title

Owner

Phone

(707) 343-8884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin A Jacot, PA

  • Physician Assistant
  • Crescent City, CA
  • NPI 1699023077
  NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1194434464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 3RD ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314302",
            "telephone_number": "707-343-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 3RD ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314302",
            "telephone_number": "707-343-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITELEDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "JACOT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-343-8884"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pata Vang, MSW
• Steven W. Veit, PH.D.
• Kerrie Ventre, RN
• Betty Vigil, RN
• Teril Davis Vipond, LCSW
• Thomas Von Dohlen
• Amber Vos, FNP
• Jesse W Vos, P.A.
• Susan Waddell, RN
• Floyd Richard Wafler

• Family Medicine Physician in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.