Vdex Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VDEX MEDICAL GROUP, INC

Practice address

21201 Victory Blvd Ste 265
Canoga Park, CA 91303-4059

Phone

(818) 661-6367

Fax

(818) 661-6367

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Charles Walter Long

Title

Ceo

Phone

(818) 661-6367

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1962912741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21201 VICTORY BLVD STE 265",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034059",
            "telephone_number": "818-661-6367",
            "fax_number": "818-661-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21201 VICTORY BLVD STE 265",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034059",
            "telephone_number": "818-661-6367",
            "fax_number": "818-661-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDEX MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-661-6367"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Vargas
• Giselle Vartanian Morgan
• Jorge Alberto Vasquez
• Vanessa Vasquez
• Vdex Medical Group - Cheng
• Vega Hospice, Inc.
• Chanel Vega
• Deanna Vega
• Jocelyn Vega
• Kimberly Vega

• Internal Medicine Physician in Canoga Park, CA
• Providers in Canoga Park, 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 Oct 3, 2018; 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.