Vitality Medical Care of Arizona LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALITY MEDICAL CARE OF ARIZONA LLC

Practice address

11579 E Via Salida
Yuma, AZ 85367-7262

Phone

(800) 570-8160

NPI assigned

Jun 29, 2026

Organization subpart

No

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

Authorized official

Name

Mark Dorner

Title

Manager

Phone

(800) 570-8160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1730005166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11579 E VIA SALIDA",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11579 E VIA SALIDA",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677262",
            "telephone_number": "800-570-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL CARE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "DORNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-570-8160"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Vining II, MD
• Janhavi Virkar, RD
• Jillianne Visaggio
• Vishnu Bezwada PC
• Vitalab Pharmacy Inc
• Lucero Jacqueline Vivar, M.D.
• Vive Counseling & Wellness, PLLC
• Daniela Vizcarra, RBT
• Derek Von Haag, MD
• Melissa E. Waldrip, LCSW

• Family Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.