Nova Vita Alliance

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NOVA VITA ALLIANCE

Practice address

117 Harvard Ave
Vallejo, CA 94589-1726

Phone

(650) 718-6666

NPI assigned

Aug 14, 2025

Organization subpart

No

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

Authorized official

Name

Joyce Jingjing Lao

Title

Excutive Director

Phone

(628) 888-5333

Specialties & licenses 2

Addresses

Other names 1

• Nova Vita Alliance Former legal business name

Practitioners 1

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

• Jingjing Lao

  • Case Manager/Care Coordinator
  • Vallejo, CA
  • NPI 1902782030
  NPD

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1679459424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 25TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223318",
            "telephone_number": "650-718-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HARVARD AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945891726",
            "telephone_number": "650-718-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 25th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941223318",
            "country_code": "US",
            "telephone_number": "650-718-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA VITA ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "LAO",
        "authorized_official_first_name": "JOYCE JINGJING",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "628-888-5333"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Vita Alliance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.