NPIMap

Organization Active NPI

Vitality Medical Group, PLLC

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1346472024
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VITALITY MEDICAL GROUP, PLLC
Practice address
7448 N la Cholla Blvd
La Cholla Corporate Center
Tucson, AZ 85741-2306
Phone
(520) 461-1717
Fax
(520) 461-1727
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Deepali Rastogi, MDNPI 1396775656
Title
Co-Owner
Phone
(520) 461-1717

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7448 N la Cholla Blvd
La Cholla Corporate Center
Tucson, AZ 85741-2306

Mailing address

PO Box 68131
Tucson, AZ 85737-8131
Phone (520) 461-1717

National Provider Directory

National Provider Directory

Locations

7448 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 461-1717

Practitioners & affiliated clinicians

Practitioners 2

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": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1346472024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68131",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857378131",
            "telephone_number": "520-461-1717",
            "fax_number": "520-461-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 N LA CHOLLA BLVD",
            "address_2": "LA CHOLLA CORPORATE CENTER",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-461-1717",
            "fax_number": "520-461-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "DEEPALI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "520-461-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.