Organization Active NPI

Vytal Medical Group LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1629883749
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VYTAL MEDICAL GROUP LLC
Practice address
1 N 1St St Ste 700
Phoenix, AZ 85004-2364
Phone
(602) 481-9650
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Dr. Joshua Routh, MDNPI 1720421290
Title
Medical Director
Phone
(602) 481-9650

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1 N 1St St Ste 700
Phoenix, AZ 85004-2364

Mailing address

1 N 1St St Ste 700
Phoenix, AZ 85004-2364
Phone (602) 481-9650

National Provider Directory

National Provider Directory

Locations

1 N 1st St
Ste 700
Phoenix, AZ 85004
Phone (602) 481-9650

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1629883749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N 1ST ST STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042364",
            "telephone_number": "602-481-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N 1ST ST STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042364",
            "telephone_number": "602-481-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "ROUTH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-481-9650",
        "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": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.