Vitality Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALITY MEDICAL GROUP PC

Practice address

27699 Jefferson Ave
Ste 210
Temecula, CA 92590

Phone

(951) 389-0500

Fax

(951) 389-0528

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Michael BellNPI 1336197425

Title

President

Phone

(951) 389-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vitality Medical Group PC

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1487087227

  5193956340

  Same PAC ID

Practitioners 6

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

• Michael T Bell, D.C.

  • Chiropractor
  • Temecula, CA
  • NPI 1336197425
  NPD Authorized official
• Brooke Anderson, FNP-C

  • Family Nurse Practitioner
  • Wildomar, CA
  • NPI 1174331151
  NPD
• Talia Rene Clate, FNP-C

  • Family Nurse Practitioner
  • Idyllwild, CA
  • NPI 1528821980
  NPD
• Tambra Lajoy Ratledge, FNP-C

  • Family Nurse Practitioner
  • Fallbrook, CA
  • NPI 1689307779
  NPD
• Matthew U To, D.C.

  • Chiropractor
  • Carson, CA
  • NPI 1023193091
  NPD
• Michael Andrew Woo-Ming, M.D.

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1558623371
  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1306362629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902696",
            "telephone_number": "951-389-0500",
            "fax_number": "951-389-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE",
            "address_2": "STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-389-0500",
            "fax_number": "951-389-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-389-0500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtue Ipa
• Randy Viscarra
• Larissa Vishtell, FNP
• Visnic Center for Integrated Health Inc
• Samuel J Visnic, MT
• Vitality Medical Group PC
• Vitality Urgent Care a Medical Corporation
• David Vizcarra
• Kim Thien Vo, DO
• Linda A Vonminden, RPH

• Family Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.