Active NPI
Vitale
- Registered Nurse
- Santa Monica, CA
National Provider Identifier
1316277171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN680091
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002449639-0001-1 | Other | CA | BUSINESS LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Santa Monica, CA
- NPI 1053641811
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
- Zoe Katherine Virant
- Renata Visomirskis, LMFT
- Vista del Mar Child and Family Services
- Vista del Mar Child and Family Services
- Vital Diagnostic Services Inc.
- Vitality&Longevity Medical Center a Professional Medical Corporation
- Juliane Da Silva Vitolo
- Kenny Hung Vo I
- Katie Lynn Vogel, MA OTR/L
- Klara Vogel, M.D.
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.