Active NPI
Vitalis Longevity and Performance, Professional Corporation
- Health Service Clinic/Center
- El Centro, CA
National Provider Identifier
1366353674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- VITALIS LONGEVITY AND PERFORMANCE, PROFESSIONAL CORPORATION
- Practice address
- 1550 S Imperial Ave
El Centro, CA 92243-4241 - Phone
- (760) 997-7990
- NPI assigned
- Sep 15, 2026
- 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
- Alidad Zadeh, DO
- Title
- Cro/President
- Phone
- (949) 872-0612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1550 S Imperial Ave
El Centro, CA 92243-4241
Mailing address
1550 S Imperial Ave
El Centro, CA 92243-4241
Phone (760) 997-7990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789430400000",
"number": "1366353674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434241",
"telephone_number": "760-997-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434241",
"telephone_number": "760-997-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALIS LONGEVITY AND PERFORMANCE, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A",
"authorized_official_last_name": "ZADEH",
"authorized_official_first_name": "ALIDAD",
"authorized_official_title_or_position": "CRO/PRESIDENT",
"authorized_official_telephone_number": "949-872-0612",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.