VITALITY WELLNESS CENTER, A MEDICAL CORPORATION (NPI# 1346748480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346748480 |
| Entity Type | Organization |
| Organization Name | VITALITY WELLNESS CENTER, A MEDICAL CORPORATION |
| Practice Address |
1011 Center St Santa Cruz CA 95060-3703 |
| Mailing Address |
413 Oxford Way Santa Cruz CA 95060-6350 |
| Practice Telephone | 8313259691 |
| Practice Fax Number | 8312956206 |
| Mailing Telephone | 4084021849 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. NEIL BERNARDI-WRIGHT (SECREATRY) |
| Authorized Official Telephone | 4084021849 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | AC4876 | CA | Other Service Providers |
| Y | 171100000X | Acupuncturist | AC4888 | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15251 National Ave Ste 106, Los Gatos, CA 950322400 | 4084021849 | 8312956206 |
| Street Address |
1011 CENTER ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297612 | Cecily Ryan Heath | Massage Therapist | 1011 Center St, Santa Cruz, CA 95060-3703 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936623 | Magali S Brecke | Acupuncturist | 1040 Mystery Spot Rd, Santa Cruz, CA 95065-9660 | 2020-09-11 |
| 1588226369 | Susan Beck | Acupuncturist | 115 Rollingwoods Dr, Santa Cruz, CA 95060-1017 | 2019-07-02 |
| 1588141535 | Sarah Samaya Cullerton | Acupuncturist | 200 7th Ave Ste 135, Santa Cruz, CA 95062-4670 | 2018-07-23 |
| 1710479712 | Russell Koester | Acupuncturist | 515 Centennial St, Santa Cruz, CA 95060-6005 | 2018-06-05 |
| 1942797162 | Fengli Lan | Acupuncturist | 200 7th Ave Ste 115, Santa Cruz, CA 95062-4669 | 2018-04-13 |
| 1447757893 | Marlena Louisa Munoz | Acupuncturist | 4515 Bain Ave, Santa Cruz, CA 95062-4542 | 2018-04-11 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1760992176 | Francesca Lina Pascale | Acupuncturist | 21245 E Cliff Dr Unit G, Santa Cruz, CA 95062-4869 | 2017-10-11 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on VITALITY WELLNESS CENTER, A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.