Vital Medical Solutions

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

VITAL MEDICAL SOLUTIONS

Practice address

3176 Pullman St Ste 104
Costa Mesa, CA 92626-3317

Phone

(714) 435-1904

Fax

(714) 435-1964

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Charles Hawkins

Title

President

Phone

(714) 435-1904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1356801963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 PULLMAN ST STE 104",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263317",
            "telephone_number": "714-435-1904",
            "fax_number": "714-435-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 PULLMAN ST STE 104",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263317",
            "telephone_number": "714-435-1904",
            "fax_number": "714-435-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-435-1904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Villeda, B.S
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• Leann Renee Vitale, OT
• Cinthya L. Viteri
• George Joseph Vitolo
• Emily Vivas
• Angela Joaneli Vizcarra

• Customized Equipment (DME) in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.