Organization Active NPI

Vital Connect, Inc

Doing business as Vital Connect Industries

  • Physiological Laboratory
  • Pasadena, CA
National Provider Identifier
1407471550
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
VITAL CONNECT, INC
Doing business as
Vital Connect Industries
Practice address
Dept la 25245
Pasadena, CA 91185-2133
Phone
(408) 963-4600
NPI assigned
Jun 15, 2020
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Vital Connect
Title
Ceo
Phone
(408) 963-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

Dept la 25245
Pasadena, CA 91185-2133

Mailing address

2870 Zanker Rd Ste 100
San Jose, CA 95134-2133
Phone (408) 963-4600

Other names 1

  • Vital Connect Industries Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201106000473 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1052721867 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

Dept LA 25245
Pasadena, CA 91185
Phone (408) 963-4600

224 Airport Pkwy
Ste 300
San Jose, CA 95110
Phone (408) 963-4600

2870 Zanker Rd
Ste 100
San Jose, CA 95134
Phone (281) 786-5764

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1407471550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 ZANKER RD STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342133",
            "telephone_number": "408-963-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT LA 25245",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911852133",
            "telephone_number": "408-963-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CONNECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "CONNECT",
        "authorized_official_first_name": "VITAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-963-4600"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Connect Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.