Vitality Urgent Care a Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VITALITY URGENT CARE A MEDICAL CORPORATION

Doing business as

Inland Urgent Care

Practice address

27168 Newport Rd Ste 1
Menifee, CA 92584-7383

Phone

(951) 246-3033

Fax

(951) 246-7373

NPI assigned

Oct 18, 2023

Last updated

Feb 26, 2024By 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

Taniusca S Lopez

Title

Credentialing Representative

Phone

(951) 821-3252

Specialties & licenses 1

Addresses

Other names 1

• Inland Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vitality Urgent Care a Medical Corporation

  dba Inland Urgent Care

  • Urgent Care Clinic/Center
  • Temecula, CA
  • NPI 1649052218

  O20240315002937

  Same enrollment

Tax ID family

Inland Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vitality Urgent Care a Medical Corporation

  dba Inland Urgent Care

  • Urgent Care Clinic/Center
  • Temecula, CA
  • NPI 1649052218
  NPD tax ID

Locations

Practitioners 2

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.

• Mariam Dehyar, M.D.

  • Family Medicine Physician
  • Menifee, CA
  • NPI 1376735688
  NPD
• Carla Soler, M.D.

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1407836687
  NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1396527958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847383",
            "telephone_number": "951-821-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT RD STE 1",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847383",
            "telephone_number": "951-246-3033",
            "fax_number": "951-246-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY URGENT CARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TANIUSCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING REPRESENTATIVE",
        "authorized_official_telephone_number": "951-821-3252"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Vetter
• Leila Victorin, M.S. CCC-SLP
• Jasmine Vidal
• Daisy Villalpando
• Mercedes Peralta Villano, M.D.
• Denise Wagner, MS, BS
• Walgreen Co (Walgreens #06127)
• Walgreen Co (Walgreens #06126)
• Destiny Walker
• Jason R Walker

• Urgent Care Clinic/Center in Menifee, CA
• Providers in Menifee, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.