Organization Active NPI

Vitalis Health Solutions LLC

  • Primary Care Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1285543934
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VITALIS HEALTH SOLUTIONS LLC
Practice address
16410 W Durango St
Goodyear, AZ 85338-2448
Phone
(623) 742-3224
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Ronald Rodriguez
Title
Owner
Phone
(623) 724-3224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

16410 W Durango St
Goodyear, AZ 85338-2448

Mailing address

16410 W Durango St
Goodyear, AZ 85338-2448

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1285543934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 W DURANGO ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 W DURANGO ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382448",
            "telephone_number": "623-742-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIS HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-724-3224"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.