Active NPI
VT Vitamins LLC
- Medical Foods Supplier
- Irvine, CA
National Provider Identifier
1558764803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Foods Supplier
- Legal business name
- VT VITAMINS LLC
- Practice address
- 17811 Sky Park Cir Ste E
Irvine, CA 92614-6109 - Phone
- (626) 795-5059
- NPI assigned
- Oct 1, 2014
- 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
- Mr. Vasili John Gatsinaris, DC
- Title
- Ceo
- Phone
- (626) 795-5059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Foods Supplier | 335G00000X | Primary |
Addresses
Primary practice location
17811 Sky Park Cir Ste E
Irvine, CA 92614-6109
Mailing address
17811 Sky Park Cir Ste E
Irvine, CA 92614-6109
Phone (626) 795-5059
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1558764803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17811 SKY PARK CIR STE E",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146109",
"telephone_number": "626-795-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17811 SKY PARK CIR STE E",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146109",
"telephone_number": "626-795-5059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VT VITAMINS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "GATSINARIS",
"authorized_official_first_name": "VASILI",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-795-5059",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.