Vytal Surgery Center of Glendale

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VYTAL SURGERY CENTER OF GLENDALE

Practice address

425 E Colorado St Ste 555
Glendale, CA 91205-1620

Phone

(818) 578-5125

NPI assigned

May 7, 2026

Last updated

May 7, 2026By 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

David Vahedi, MD

Title

Ceo

Phone

(818) 578-5125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1770410250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E COLORADO ST STE 555",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051620",
            "telephone_number": "818-578-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E COLORADO ST STE 555",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051620",
            "telephone_number": "818-578-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTAL SURGERY CENTER OF GLENDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "VAHEDI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-578-5125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Vu
• Petar Vukasin, M.D.
• Maureen Iser Vukojevich, M.S., CCC-SLP
• Judith Ann Vukov, MD
• Kien Quang Vuu, MD
• W. David Mello, M.D., Inc.,a Professional Corporation
• Jerry Kiyoharu Wada, M.D.
• Christina T Wade, MD
• Nancy Lynn Wade, PHD
• Patrick Wade, M.D.

• Ambulatory Surgical Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.