Organization Active NPI

Vitality Wellness Center, a Medical Corporation

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1346748480
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC4888 Issued in CA
Legal business name
VITALITY WELLNESS CENTER, A MEDICAL CORPORATION
Practice address
1011 Center St
Santa Cruz, CA 95060-3703
Phone
(831) 325-9691
Fax
(831) 295-6206
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Neil Bernardi-Wright, L.AC.
Title
Secreatry
Phone
(408) 402-1849

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC4888 CA Primary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC4876 CA

Addresses

Primary practice location

1011 Center St
Santa Cruz, CA 95060-3703

Mailing address

413 Oxford Way
Santa Cruz, CA 95060-6350
Phone (408) 402-1849

Other practice location 1

15251 National Ave Ste 106
Los Gatos, CA 95032-2400
Phone (408) 402-1849

National Provider Directory

National Provider Directory

Locations

1011 Center St
Santa Cruz, CA 95060
Phone (831) 325-9691

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": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346748480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 OXFORD WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606350",
            "telephone_number": "408-402-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CENTER ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603703",
            "telephone_number": "831-325-9691",
            "fax_number": "831-295-6206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15251 National Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322400",
            "country_code": "US",
            "telephone_number": "408-402-1849",
            "fax_number": "831-295-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALITY WELLNESS CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BERNARDI-WRIGHT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "SECREATRY",
        "authorized_official_telephone_number": "408-402-1849",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4888",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.