Active NPI
Vituity Hospitalists PC
- Hospitalist Physician
- Fresno, CA
National Provider Identifier
1285111658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- VITUITY HOSPITALISTS PC
- Practice address
- 1303 E Herndon Ave
Fresno, CA 93720-3309 - Phone
- (559) 450-3000
- NPI assigned
- Jul 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theophile Koury, MD
- Title
- President
- Phone
- (510) 350-2680
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1303 E Herndon Ave
Fresno, CA 93720-3309
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181011001813 | CA | Part B Supplier - Clinic/Group Practice | 2567714090 |
Receives reassigned benefits from 190 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Redding, CA; Redwood City, CA; San Francisco, CA; San Luis Obispo, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586217600000",
"number": "1285111658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-350-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203309",
"telephone_number": "559-450-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITUITY HOSPITALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-27",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A",
"authorized_official_last_name": "KOURY",
"authorized_official_first_name": "THEOPHILE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-350-2680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Vitalize a Professional Psychology Corporation
- Vitalize Behavioral Health and Psychometrics Inc.
- Vitas Healthcare Corporation of California
- Nicole Angelique Vitato, DPT
- Mahesh Indrajith Vitharana Pathirana, CMT
- Nayeli Vivanco, BA
- Edith Morales Vivas
- Vivek Mittal, M.D. and Manisha Mittal, M.D. Inc.
- Vanathy Vivekananthan, RD
- James Vizcarra, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.