Vitaform, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VITAFORM, INC

Practice address

34145 Pacific Coast Hwy # 311
Dana Point, CA 92629-2808

Phone

(888) 296-0208

Fax

(949) 429-0750

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Donald Francisco

Title

President

Phone

(888) 296-0281

Specialties & licenses 1

Addresses

Other names 1

• Body After Baby Doing business as

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1447523808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HWY # 311",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292808",
            "telephone_number": "888-296-0208",
            "fax_number": "949-429-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HWY # 311",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292808",
            "telephone_number": "888-296-0208",
            "fax_number": "949-429-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAFORM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-296-0281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body After Baby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usha Idnani MD
• Catherine Vallejo, MSW, LCSW
• Wayne J Vega, R.PH.
• Brian Thomas Verburg
• Stefan James Lat Verdeflor
• Vorteil Dermatology and Aesthetic Science, Inc
• Grace Vu, PHARMD
• Grant Jordan Waggoner, LMFT
• Koh M Watanabe, PHARM.D.
• Wav Wellness and Vitality Inc.

• Durable Medical Equipment & Medical Supplies in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.