Organization Active NPI

Luxvitality Medical Corp

Doing business as InstaMed Urgent Care

  • Urgent Care Clinic/Center
  • Sacramento, CA
National Provider Identifier
1730078346
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LUXVITALITY MEDICAL CORP
Doing business as
InstaMed Urgent Care
Practice address
3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277
Phone
(916) 477-0661
NPI assigned
Jun 30, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Hai Duy Le, MDNPI 1184004772
Title
President
Phone
(916) 477-0661

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277

Mailing address

368 Lone Spur Dr
Folsom, CA 95630-6176
Phone (916) 538-8184

Other names 1

  • InstaMed Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250902004448 CA Part B Supplier - Clinic/Group Practice 3971004680 Receives reassigned benefits from 4 practitioners
Practice locations: Sacramento, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2330542Luxvitality Medical Corp3635 Bradshaw Road Ste B, Sacramento, CA 95827Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1730078346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 LONE SPUR DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306176",
            "telephone_number": "916-538-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BRADSHAW RD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273277",
            "telephone_number": "916-477-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXVITALITY MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-477-0661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InstaMed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.