Vitashi

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

VITASHI

Practice address

1860 El Camino Real Ste 321
Burlingame, CA 94010-3114

Phone

(650) 552-8180

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Adel Ghanem, PHD

Title

Presaident

Phone

(650) 257-0752

Specialties & licenses 1

Addresses

Other names 1

• Vitashi Health Other name

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1629796313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "415-988-1224",
            "fax_number": "650-381-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 321",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103114",
            "telephone_number": "650-552-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITASHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PRESAIDENT",
        "authorized_official_telephone_number": "650-257-0752",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitashi Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Point of Service in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.