Vitality Medical Institute, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VITALITY MEDICAL INSTITUTE, INC.

Practice address

3661 Torrance Blvd Ste 201
Torrance, CA 90503-4884

Phone

(310) 626-1533

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Jason Chang, DCNPI 1619935632

Title

Coo

Phone

(310) 626-1533

Specialties & licenses 10

Addresses

Locations

Practitioners 1

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

• Edgar Jason Chang, D.C.

  • Chiropractor
  • Buena Park, CA
  • NPI 1619935632
  NPD Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1700298601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 306-382",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028734",
            "telephone_number": "310-626-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034884",
            "telephone_number": "310-626-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6888 Lincoln Ave Ste J2",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906204107",
            "country_code": "US",
            "telephone_number": "310-626-1533",
            "fax_number": "424-436-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5832 Beach Blvd Unit 210",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906215501",
            "country_code": "US",
            "telephone_number": "310-626-1533",
            "fax_number": "424-436-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 E Anaheim St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "CA",
            "postal_code": "907444516",
            "country_code": "US",
            "telephone_number": "310-626-1533",
            "fax_number": "424-436-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALITY MEDICAL INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-626-1533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "CA",
            "license": "A84921",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A84921",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A84921",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Bay Medical Group
• Vita Home Health Services Inc
• Vitae Diagnostics Incorporated
• Anissa Vital
• Vitalcore Labs
• Vitas Healthcare Corporation of California
• Ma. Mercedes Manalastas Vitocruz, BS, RN,WHNP
• Sumalee Vivatpattanakul, FNP
• Elva Viveros
• Mallory Viveros, OTR/L

• Multi-Specialty Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.