Organization Active NPI

Vitality M Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Tustin, CA
National Provider Identifier
1578079752
Registry record updated Dec 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VITALITY M CENTER INC
Practice address
210 W Main St Ste 102
Tustin, CA 92780-7701
Phone
(714) 832-1212
Fax
(714) 832-1221
NPI assigned
Dec 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2017

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

Authorized official

Name
Dr. Laila Nayab, DCNPI 1265573521
Title
Ceo
Phone
(714) 832-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

210 W Main St Ste 102
Tustin, CA 92780-7701

Mailing address

PO Box 424
Tustin, CA 92781-0424
Phone (714) 832-1212

Other names 1

  • Vitality Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

210 W Main St
Ste 102
Tustin, CA 92780
Phone (714) 398-8524

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514073600000",
    "number": "1578079752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927810424",
            "telephone_number": "714-832-1212",
            "fax_number": "714-832-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807701",
            "telephone_number": "714-832-1212",
            "fax_number": "714-832-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY M CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-24",
        "last_updated": "2017-12-24",
        "status": "A",
        "authorized_official_last_name": "NAYAB",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-832-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2017; 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.