Vibrant Healing, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VIBRANT HEALING, LLC

Practice address

6515 Pinehaven Rd
Oakland, CA 94611-1244

Phone

(619) 750-2666

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Jason Kal, NMT

Title

Owner

Phone

(619) 750-2666

Specialties & licenses 1

Addresses

Other names 1

• Vibrant Healing, LLC Former legal business name

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1437719622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 PINEHAVEN RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111244",
            "telephone_number": "619-750-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 PINEHAVEN RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111244",
            "telephone_number": "619-750-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "KAL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-750-2666",
        "authorized_official_credential": "NMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Healing, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ian Vianu, LMFT
• Vibe and Thrive Virtual Care, P.C. (Vibe and Thrive Virtual Care)
• Audric Noah Viboolsittiseri
• Vibrant Care Pharmacy Inc
• Vibrant Care Pharmacy, Inc.
• Elliott P Vichinsky, MD
• Rebecca Margaret Vick, LCSW
• Amanda Kaye Vickers, ARNP
• Brittany Vickers
• Carol Vickers

• Health Maintenance Organization in Oakland, CA
• Providers in Oakland, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.