Organization Active NPI

Vitale

  • Registered Nurse
  • Santa Monica, CA
National Provider Identifier
1316277171
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN680091 Issued in CA
Legal business name
VITALE
Practice address
1118 11TH St
Ste. 6
Santa Monica, CA 90403-5318
Phone
(310) 795-5854
Fax
(323) 766-1103
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Ms. Julie Marie Wozniak, R.N.NPI 1053641811
Title
President
Phone
(310) 795-5854

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN680091 CA Primary
Respite Care 385H00000X RN680091 CA

Addresses

Primary practice location

1118 11TH St
Ste. 6
Santa Monica, CA 90403-5318

Mailing address

1118 11TH St
Ste. 6
Santa Monica, CA 90403-5318
Phone (310) 795-5854

Other identifiers 1

IdentifierTypeStateIssuer
002449639-0001-1OtherCABUSINESS LICENSE

National Provider Directory

National Provider Directory

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1316277171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 11TH ST",
            "address_2": "STE. 6",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035318",
            "telephone_number": "310-795-5854",
            "fax_number": "323-766-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 11TH ST",
            "address_2": "STE. 6",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035318",
            "telephone_number": "310-795-5854",
            "fax_number": "323-766-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "WOZNIAK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-795-5854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN680091",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "RN680091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "002449639-0001-1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.