Vitality Health Plan of California, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VITALITY HEALTH PLAN OF CALIFORNIA, INC.

Practice address

18000 Studebaker Rd Ste 960
Cerritos, CA 90703-2679

Phone

(833) 847-4584

Fax

(833) 848-1212

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Michael Kelly Rowan

Title

Cio

Phone

(714) 587-7137

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1306334685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 960",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032679",
            "telephone_number": "833-847-4584",
            "fax_number": "833-848-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 960",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032679",
            "telephone_number": "833-847-4584",
            "fax_number": "833-848-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH PLAN OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "714-587-7137"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.