Organization Active NPI

Vitel Health Physician Services Cooperative

  • General Practice Physician
  • San Francisco, CA
National Provider Identifier
1922869981
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VITEL HEALTH PHYSICIAN SERVICES COOPERATIVE
Practice address
4 Embarcadero Ctr Ste 1400
San Francisco, CA 94111-4164
Phone
(916) 716-8874
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Dr. Brittany Busse, MDNPI 1063649275
Title
Ceo
Phone
(916) 716-8874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4 Embarcadero Ctr Ste 1400
San Francisco, CA 94111-4164

Mailing address

3837 Amelia Rose Way
Sacramento, CA 95834-4019
Phone (916) 716-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250129002521 CA Part B Supplier - Clinic/Group Practice 2062941495 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1922869981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 AMELIA ROSE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958344019",
            "telephone_number": "916-716-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EMBARCADERO CTR STE 1400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114164",
            "telephone_number": "916-716-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITEL HEALTH PHYSICIAN SERVICES COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BUSSE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-716-8874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.