Organization Active NPI

Vitalhealth Home Care PC

  • In Home Supportive Care Agency
  • San Diego, CA
National Provider Identifier
1902770647
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VITALHEALTH HOME CARE PC
Practice address
9655 Granite Ridge Dr Ste 201
San Diego, CA 92123-2676
Phone
(858) 900-7774
NPI assigned
Oct 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Authorized official

Name
Ava Dacanay, RN
Title
Authorized Official
Phone
(619) 788-9281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9655 Granite Ridge Dr Ste 201
San Diego, CA 92123-2676

Mailing address

9655 Granite Ridge Dr Ste 200
San Diego, CA 92123-2676
Phone (858) 900-7774

National Provider Directory

National Provider Directory

Locations

9655 Granite Ridge Dr
Ste 201
San Diego, CA 92123
Phone (858) 900-7774

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1902770647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 GRANITE RIDGE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232676",
            "telephone_number": "858-900-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 GRANITE RIDGE DR STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232676",
            "telephone_number": "858-900-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALHEALTH HOME CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "DACANAY",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "619-788-9281",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.