Active NPI
Vibrant Healthcare Nursing Corporation
- Family Nurse Practitioner
- Lynwood, CA
National Provider Identifier
1497668701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VIBRANT HEALTHCARE NURSING CORPORATION
- Practice address
- 3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512 - Phone
- (562) 912-8904
- NPI assigned
- Sep 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia Aliazis
- Title
- Owner
- Phone
- (562) 912-8904
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512
Mailing address
PO Box 15402
Long Beach, CA 90815-0402
Phone (562) 912-8904
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Lynwood, CA
- NPI 1225670557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790380800000",
"number": "1497668701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15402",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908150402",
"telephone_number": "562-912-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 MARTIN LUTHER KING JR BLVD STE 6",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623512",
"telephone_number": "562-912-8904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBRANT HEALTHCARE NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A",
"authorized_official_last_name": "ALIAZIS",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-912-8904"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.