NPIMap

Organization Active NPI

Your Good Health Medical Group PA

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1316970981
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0003793 Issued in FL
Legal business name
YOUR GOOD HEALTH MEDICAL GROUP PA
Practice address
11000 Prosperity Farms Rd
Suite 206
Palm Beach Gardens, FL 33410-3462
Phone
(561) 622-4646
Fax
(561) 775-8625
NPI assigned
Jul 8, 2006
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
David Vastola, DO
Title
Owner
Phone
(561) 622-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS0003793 FL Primary

Addresses

Primary practice location

11000 Prosperity Farms Rd
Suite 206
Palm Beach Gardens, FL 33410-3462

Mailing address

11000 Prosperity Farms Rd
Suite 206
Palm Beach Gardens, FL 33410-3462
Phone (561) 622-4646

Other identifiers 1

IdentifierTypeStateIssuer
K9758OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

11000 Prosperity Farms Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 622-4646

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1316970981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-622-4646",
            "fax_number": "561-775-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-622-4646",
            "fax_number": "561-775-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR GOOD HEALTH MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "VASTOLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-622-4646",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0003793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K9758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.