Active NPI
Vital Surgical Solutions
- Ambulatory Surgical Clinic/Center
- Fresno, CA
National Provider Identifier
1760765721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VITAL SURGICAL SOLUTIONS
- Practice address
- 2848 Mariposa St
Fresno, CA 93721-1308 - Phone
- (831) 212-2123
- NPI assigned
- Sep 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shelby Jobe
- Title
- Ceo
- Phone
- (831) 212-2123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2848 Mariposa St
Fresno, CA 93721-1308
Mailing address
2349 Wayfarer Dr
Discovery Bay, CA 94505-9225
Phone (831) 212-2123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316995200000",
"number": "1760765721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 WAYFARER DR",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "945059225",
"telephone_number": "831-212-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2848 MARIPOSA ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211308",
"telephone_number": "831-212-2123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL SURGICAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A",
"authorized_official_last_name": "JOBE",
"authorized_official_first_name": "SHELBY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "831-212-2123",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Visiting Nurses Healthcare, Inc
- Vista Elderly Care Facility
- Juliet Regis Vista, CNS
- Vital Experiences
- Vital Medical Transportation LLC
- Vitalbridge Medical Supply LLC
- Amelia Sophia Luisa Vitale
- Nicholas Vitale, BCBA
- Vitalize a Professional Psychology Corporation
- Vitalize Behavioral Health and Psychometrics Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.