Active NPI
Vitality Wellness Center, a Medical Corporation
- Acupuncturist
- Santa Cruz, CA
National Provider Identifier
1346748480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4888
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4888 | CA | Primary |
| Acupuncturist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Santa Cruz, CA
- NPI 1538289327
-
- Acupuncturist
- Santa Cruz, CA
- NPI 1518087394
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.