VITAL CONNECT, INC (NPI# 1407471550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407471550 |
| Entity Type | Organization |
| Organization Name | VITAL CONNECT, INC |
| Other Organization Name | VITAL CONNECT INDUSTRIES |
| Practice Address |
224 Airport Pkwy Ste 300 San Jose CA 95110-1022 |
| Practice Telephone | 4089634600 |
| Mailing Telephone | 4089634600 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | PETER VANHAUR (CEO) |
| Authorized Official Telephone | 4089634600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Vital Connect Industries | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VITAL CONNECT, INC. | 224 Airport Pkwy Ste 300, San Jose, CA 95110-1022 |
| Washington State Corporations | VITAL CONNECT, INC. | 224 Airport Pkwy Ste 300, San Jose, CA 95110-1022 |
| Colorado Business Entities | Vital Connect, Inc. | 224 Airport Parkway, Suite 300, San Jose, CA 95110-1022 |
| Street Address |
224 AIRPORT PKWY STE 300 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601457 | Deepa Thomas | Specialist/Technologist | 978 S Shields Ave, Mountain House, CA 95391-1375 | 2019-10-23 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1528536281 | Roxanne C Whitney | Specialist/Technologist | 2540 Country Hills Rd Apt 280, Brea, CA 92821-4647 | 2018-11-10 |
| 1437685971 | Victoria Deasy | Specialist/Technologist | 803 1/2 Juno Ln, Foster City, CA 94404-2813 | 2017-05-03 |
| 1801330329 | Jayme L Mcleish | Specialist/Technologist | 17834 Canehill Ave, Bellflower, CA 90706-7151 | 2016-12-19 |
| 1891186581 | Kanwaljeet Kaur | Specialist/Technologist | 3816 Cinnamon Ct, Bakersfield, CA 93309-6255 | 2015-02-17 |
| 1336580547 | Suzanne Moore Welty | Specialist/Technologist | 160 S Old Springs Rd Ste 100, Anaheim, CA 92808-1230 | 2013-07-16 |
| 1386983401 | Jim Kalafat | Specialist/Technologist | 508 Dahlia Ave, Corona Del Mar, CA 92625-2105 | 2013-02-08 |
| 1538406624 | Rachel A. M. Weichert | Specialist/Technologist | 3702 Ruffin Rd Ste 100, San Diego, CA 92123-1893 | 2013-01-09 |
| 1437493103 | Amy Gorman | Specialist/Technologist | 952 The Alameda, Berkeley, CA 94707-2308 | 2012-11-19 |
| Find all providers with the same taxonomy | ||||
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| 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.