Vibrance Medical Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

G51360 Issued in CA

Legal business name

VIBRANCE MEDICAL GROUP

Practice address

2772 Townsgate Rd
Suite D
Westlake Village, CA 91361-2903

Phone

(805) 379-0254

Fax

(805) 379-4541

NPI assigned

Apr 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Darren F. X. Clair, M.D.

Title

Medical Director

Phone

(310) 866-9889

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1821314519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 TOWNSGATE RD",
            "address_2": "SUITE D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612903",
            "telephone_number": "805-379-0254",
            "fax_number": "805-379-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 TOWNSGATE RD",
            "address_2": "SUITE D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612903",
            "telephone_number": "805-379-0254",
            "fax_number": "805-379-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "CLAIR",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "F. X.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-866-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G51360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G51360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.