Vitality Health Plus Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VITALITY HEALTH PLUS MEDICAL GROUP

Practice address

8711 Venice Blvd
Los Angeles, CA 90034-3216

Phone

(310) 237-0023

NPI assigned

May 4, 2021

Last updated

Jul 29, 2021By 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

Rajendra Prasad, MDNPI 1427119536

Title

Owner

Phone

(310) 237-0023

Specialties & licenses 1

Addresses

Other names 1

• Vitality Health Plus Medical Group Other name

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.

• Rajendra Prasad, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1427119536
  NPD Authorized official
• Shelly Chawla, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1447664636
  NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1790368058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20040",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914160040",
            "telephone_number": "818-884-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343216",
            "telephone_number": "310-237-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH PLUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-237-0023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Health Plus Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Michael Vital, AMFT #113300
• Elizabeth M Vitale, RDN, CDCES
• Jenna K Vitale, D.A.O.M. , L.AC.
• Vitalheal, a Professional Corporation
• Vitality Health Group Inc
• Vitality Spark LLC
• Vitalreach DME Supplies LLC
• Pamela Vitar, M.S. LCGC
• Miriam Vitela
• Marco Antonio Viteri, LMFT

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.