Organization Active NPI

Vita Bella Medical Group PA of Florida

  • Public Health & General Preventive Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1235915554
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
VITA BELLA MEDICAL GROUP PA OF FLORIDA
Practice address
11201 N Tatum Blvd
Phoenix, AZ 85028-6036
Phone
(602) 669-7321
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Courtney Hill
Title
Coo
Phone
(971) 203-6246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

11201 N Tatum Blvd
Phoenix, AZ 85028-6036

Mailing address

11201 N Tatum Blvd
Phoenix, AZ 85028-6036
Phone (602) 669-7321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1235915554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286036",
            "telephone_number": "602-669-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286036",
            "telephone_number": "602-669-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA BELLA MEDICAL GROUP PA OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "971-203-6246"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.