Vital Care Health Group a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VITAL CARE HEALTH GROUP A MEDICAL CORPORATION

Practice address

1426 University Ave Ste C
Riverside, CA 92507-4401

Phone

(951) 522-1425

Fax

(951) 900-6169

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Castillo, MDNPI 1366558322

Title

Ceo

Phone

(951) 522-1425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Guillermo Castillo, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1366558322
  Medicare reassignment Care Compare group NPD Authorized official
• Ghassan Elabed

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvine, CA
  • NPI 1326806852
  Medicare reassignment Care Compare group NPD
• Sarah Lay

  • Family Nurse Practitioner
  • Cerritos, CA
  • NPI 1225848476
  Medicare reassignment Care Compare group NPD
• Brian Montgomery, PA-C

  • Physician Assistant
  • Riverside, CA
  • NPI 1093191504
  Medicare reassignment Care Compare group NPD
• Geta Veronica Miclaus, FNP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1043034051
  Medicare reassignment NPD
• Mir Mohammad Tokir Mujtaba, MD

  • Cardiovascular Disease Physician
  • Lebanon, NH
  • NPI 1578727178

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1619778289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 UNIVERSITY AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 UNIVERSITY AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074401",
            "telephone_number": "951-522-1425",
            "fax_number": "951-900-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE HEALTH GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-522-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Association of the Inland Counties (VNA California)
• Vista Behavioral Hospital LLC (Pacific Grove Hospital)
• Vista Pacifica Enterprises
• Vista Pacifica Enterprises Inc.
• Vista Pacifica Enterprises Inc. (Vista Pacifica Convalescent)
• Vital Performance Physical Therapy
• Senia L Vitale, PH.D.
• Vitas Healthcare Corporation of California
• Betsy Vite
• Ross Vitek, MD

• Primary Care Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.