Vital Total Health Medical Group, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VITAL TOTAL HEALTH MEDICAL GROUP, INC.

Practice address

710 S Broadway Ste 212
Walnut Creek, CA 94596-5219

Phone

(925) 388-9800

Fax

(925) 888-8555

NPI assigned

Apr 10, 2019

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Greer, MDNPI 1871890525

Title

President

Phone

(925) 915-9314

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Greer, M.D.

  • Pain Medicine Physician
  • Danville, CA
  • NPI 1871890525
  Medicare reassignment Care Compare group Authorized official
• Leela Schauna Konradd, DNP-FNP

  • Family Nurse Practitioner
  • Cherryland, CA
  • NPI 1336815174
  Medicare reassignment Care Compare group NPD
• Nataliya Stogniy

  • Physician Assistant
  • San Diego, CA
  • NPI 1669872354
  Medicare reassignment Care Compare group
• Michael Jeffrey Zizmor

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1124395421
  Medicare reassignment Care Compare group
• Omar Coltrane Staples, P.A.

  • Medical Physician Assistant
  • Oakland, CA
  • NPI 1700931631
  Medicare reassignment NPD
• Staysha Veal, LMFT, DMFT

  • Mental Health Counselor
  • Fairfield, CA
  • NPI 1184031882
  Medicare reassignment NPD
• Stacie Daniels, M.D.

  • Neurology Physician
  • Antioch, CA
  • NPI 1295846822
  Medicare reassignment
• Rose M Fisher, PA-C

  • Physician Assistant
  • Sacramento, CA
  • NPI 1710694559
  Medicare reassignment
• Hans Park, MD

  • General Practice Physician
  • Tustin, CA
  • NPI 1386718377
  Medicare reassignment
• Cassandra Taylor

  • Family Nurse Practitioner
  • Pleasanton, CA
  • NPI 1326478496
  Medicare reassignment
• T'Racea Terrell

  • General Practice Physician
  • San Francisco, CA
  • NPI 1417461062
  Medicare reassignment
• Andrew Joseph Valadez

  • Physician Assistant
  • Walnut Creek, CA
  • NPI 1366111882
  Medicare reassignment

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1386107928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 WHISPERING TREES LN",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945262427",
            "telephone_number": "925-915-9314",
            "fax_number": "925-888-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROADWAY STE 212",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965219",
            "telephone_number": "925-388-9800",
            "fax_number": "925-888-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL TOTAL HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-915-9314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janiya Vinson
• Jeremiah Viray
• Sukhanpreet Virdi
• Bibanjeet K. Virk, M.D.
• Visioncare of California (sterling visioncare)
• Vitas Healthcare Corporation of California
• Maryna Vityuk, M.D.
• John William Vitz, DDS
• Daisy Viveros
• Vivien D. Lee, DMD PC.

• Multi-Specialty Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.