Organization Active NPI

Vital Surgical Solutions

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1760765721
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Sep 26, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.