Organization Active NPI

Vicita Wellness Nursing PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, CA
National Provider Identifier
1255167235
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VICITA WELLNESS NURSING PC
Practice address
2001 Salvio St Ste 28
Concord, CA 94520-2495
Phone
(925) 953-4023
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Victoria Ojiako-Ita, NURSE PRACTITIONERNPI 1508403551
Title
Business Owner
Phone
(510) 417-9552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2001 Salvio St Ste 28
Concord, CA 94520-2495

Mailing address

2001 Salvio St Ste 28
Concord, CA 94520-2495
Phone (925) 953-4023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115002220 CA Part B Supplier - Clinic/Group Practice 1254865025 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, CA

National Provider Directory

National Provider Directory

Locations

2001 Salvio St
Ste 28
Concord, CA 94520
Phone (209) 290-8564

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1255167235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SALVIO ST STE 28",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202495",
            "telephone_number": "925-953-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SALVIO ST STE 28",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202495",
            "telephone_number": "925-953-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICITA WELLNESS NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "OJIAKO-ITA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "510-417-9552",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.