Vitality Medical Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITALITY MEDICAL CARE LLC

Practice address

15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231

Phone

(800) 570-8160

NPI assigned

May 14, 2024

Last updated

Jun 23, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660
  Medicare reassignment NPD
• Glen Allen Halvorson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1588754873

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1760231716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 500",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032231",
            "telephone_number": "800-570-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 500",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032231",
            "telephone_number": "800-570-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "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": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubree Samantha Virgen
• Vision Crafters
• Visiting Angel Hospice, Inc.
• Visualeyes Optometric Corporation
• Vita Surgery Center, Inc
• Vitalstem Institute Inc
• Viva Medcare Trans Inc
• Vivacity Home Health
• Mikhail Vizel, MD
• VLS Capitol Drugs Inc (Capitol Drugs - Sherman Oaks)

• Family Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.