Vitality Healthcare Medical Corp

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VITALITY HEALTHCARE MEDICAL CORP

Practice address

16500 Ventura Blvd
Suite 414
Encino, CA 91436-2011

Phone

(818) 382-7880

Fax

(818) 382-7886

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Pedram Shojai, LAC

Title

Ceo

Phone

(818) 382-7880

Specialties & licenses 4

Addresses

Locations

Practitioners 6

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

• Sacchin Bhatia, P.T.

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1508824079
  NPD (past)
• Orit Bornstein, R.P.T.

  • Physical Therapist
  • Valley Village, CA
  • NPI 1982700670
  NPD (past)
• Kim Ellingson, D.C.

  • Chiropractor
  • Irvine, CA
  • NPI 1972551067
  NPD (past)
• Ruth Suzanne Fontaine, M.D., M.A.

  • General Practice Physician
  • Sun Valley, CA
  • NPI 1144384066
  NPD (past)
• Erica D Gould, PT

  • Physical Therapist
  • Fort Pierce, FL
  • NPI 1003835125
  NPD (past)
• Phillip R Torralva, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Portland, OR
  • NPI 1912051012
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1245298256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "SUITE 414",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-382-7880",
            "fax_number": "818-382-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "SUITE 414",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-382-7880",
            "fax_number": "818-382-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTHCARE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "SHOJAI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-382-7880",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Virtue Hospice and Palliative Care, Inc.
• Vision of Care Healthcare Services Inc
• Vista Behavioral LLC
• Vitas Healthcare Corporation California
• Vitas Healthcare Corporation of California
• Viva Med Center PC
• Vivani Hospice Care,Inc.
• Nancy Vivar

• Physical Medicine & Rehabilitation Physician in Encino, CA
• Providers in Encino, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.