Vitasana of San Diego LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VITASANA OF SAN DIEGO LLC

Practice address

7317 El Cajon Blvd Ste 204a
La Mesa, CA 91942-7434

Phone

(619) 462-2273

Fax

(619) 342-7024

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Benjamin Budraitis

Title

Owner, President

Phone

(619) 462-2273

Specialties & licenses 3

Addresses

Other names 1

• Synergy HomeCare Of La Mesa Doing business as

Locations

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1992439400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 EL CAJON BLVD STE 204A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427434",
            "telephone_number": "619-462-2273",
            "fax_number": "619-342-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 EL CAJON BLVD STE 204A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427434",
            "telephone_number": "619-462-2273",
            "fax_number": "619-342-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITASANA OF SAN DIEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BUDRAITIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "619-462-2273"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare Of La Mesa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy HomeCare Of La Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in La Mesa, CA
• Providers in La Mesa, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.