Active NPI
Vital Health Ca Medical Group
- Family Medicine Physician
- Penn Valley, CA
National Provider Identifier
1922728898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VITAL HEALTH CA MEDICAL GROUP
- Practice address
- 11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000 - Phone
- (530) 451-6234
- NPI assigned
- Aug 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Jungi
- Title
- Practice Manager
- Phone
- (530) 451-6234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000
Mailing address
11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000
Phone (530) 451-6233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
Other names 1
- Vital Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Harddrive | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2289172 | Vital Health Ca Medical Group | Certificate of waiver | Sep 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
4944 Windplay Dr
Ste 112
El Dorado Hills, CA 95762
Phone (202) 309-9677
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Grass Valley, CA
- NPI 1275554867
-
- General Practice Physician
- Chico, CA
- NPI 1619018066
-
- Family Medicine Physician
- Auburn, CA
- NPI 1174617799
-
- General Practice Physician
- Los Angeles, CA
- NPI 1952531758
-
- Adult Health Nurse Practitioner
- Sacramento, CA
- NPI 1366708901
-
- Family Medicine Physician
- Penn Valley, CA
- NPI 1356057343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1922728898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11386 PLEASANT VALLEY RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469000",
"telephone_number": "530-451-6233",
"fax_number": "866-531-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11386 PLEASANT VALLEY RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469000",
"telephone_number": "530-451-6234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL HEALTH CA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-31",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "JUNGI",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "530-451-6234"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Harddrive",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4944 Windplay Dr Ste 112",
"city": "El Dorado Hills",
"state": "CA",
"country_code": "US",
"postal_code": "957629310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Vital Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vital Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Penn Valley, CA
- Therapeutic Solutions Counseling Center, Inc
- Therapy Link, Licensed Clinical Social Worker, Inc.
- Thomas P Templeton Chiropractic Corporation
- James Thomas, LCSW
- Meghann Vela
- Bailey E Walker, RDH
- Douglas Maurice Wells, RPH
- Western Sierra Medical Clinic, Inc.
- Wildwood Medical, a Medical Corp.
- Wildwood Physical Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.