Vital Health Medical Group, Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A76022 Issued in CA

Legal business name

VITAL HEALTH MEDICAL GROUP, INC.

Practice address

6245 De Longpre Ave FL 2
Los Angeles, CA 90028-8253

Phone

(323) 499-1350

Fax

(323) 798-3021

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marcel S Filart

Title

President

Phone

(323) 499-1350

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajender Singh Dabas, P.A.-C

  • Physician Assistant
  • Hawthorne, CA
  • NPI 1891949681
  NPD (past)
• Loraine Diego, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1386689453
  NPD (past)
• Joel C Manilay, P.A.

  • Physician Assistant
  • Pasadena, CA
  • NPI 1568584662
  NPD (past)
• John Melvin Wong Valenzuela, NP-C

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1225775372

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1366839656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 DE LONGPRE AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288253",
            "telephone_number": "323-499-1350",
            "fax_number": "323-798-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 DE LONGPRE AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288253",
            "telephone_number": "323-499-1350",
            "fax_number": "323-798-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2418 S Azusa Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917921527",
            "country_code": "US",
            "telephone_number": "626-667-8780",
            "fax_number": "626-667-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "FILART",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-499-1350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A76022",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A76022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anette Paulina Vistoso Monreal
• Nisha Viswanathan, M.D.
• Vita Health Solutions Inc
• Cristine Vita
• Vital Care Ambulance Inc
• Vital Medical Supply Inc.
• Vital Point Healthcare Corp
• Vital Scan Inc
• Vital Scope Medical Inc
• Vital Solutions Medical Group

• All providers in Los Angeles, CA
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.