Active NPI
Vitality M Center Inc
- Physical Medicine & Rehabilitation Physician
- Tustin, CA
National Provider Identifier
1578079752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laila Nayab, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Tustin, CA
- NPI 1265573521
-
- Physical Medicine & Rehabilitation Physician
- Newport Beach, CA
- NPI 1538175708
Physical Medicine & Rehabilitation
-
- Chiropractor
- Mission Viejo, CA
- NPI 1801475124
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.