VITAL TOTAL HEALTH MEDICAL GROUP INC. NPI 1386107928

NPI Information

  • NPI: 1386107928
  • Provider Name: VITAL TOTAL HEALTH MEDICAL GROUP, INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 05D2282024
  • Address: 710 S BROADWAY STE 212
    WALNUT CREEK, CA
    ZIP 94596
  • Phone: (925) 388-9800

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NPI Details

VITAL TOTAL HEALTH MEDICAL GROUP, INC. is a multi-specialty clinic center in Walnut Creek, CA. VITAL TOTAL HEALTH MEDICAL GROUP, INC. NPI is 1386107928. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 S BROADWAY STE 212
WALNUT CREEK, CA
ZIP 94596-219
Phone: (925) 388-9800
Fax: (925) 888-8555

The provider's authorized official is Benjamin Greer .
The authorized official title is President and has the following contact phone number (925) 915-9314.

The CLIA number assigned to this NPI record is 05D2282024 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2019 and was last updated on 4/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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