VITALITY MEDICAL SPA INC.
NPI 1053287664
Family Medicine in Selma, CA
About Vitality Medical Spa Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY MEDICAL SPA INC. (NPI 1053287664) is a healthcare organization registered as a family medicine in Selma, California and active in the NPI registry since October 2025. The organization lists Leticia Escoto, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitality Medical Spa Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitality Medical Spa Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vitality Medical Spa Inc.'s NPI number?
The NPI number for Vitality Medical Spa Inc. is 1053287664. It was assigned to this organization in the NPPES registry on October 13, 2025.
Where is Vitality Medical Spa Inc. located?
Vitality Medical Spa Inc. is located at 1221 Rose Ave, Selma, CA 93662. The listed phone number is (559) 325-4447.
What is Vitality Medical Spa Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vitality Medical Spa Inc. enrolled in Medicare?
Yes. Vitality Medical Spa Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Medical Spa Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vitality Medical Spa Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vitality Medical Spa Inc. was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vitality Medical Spa Inc. · NPI 1053287664
Family Medicine organization in Selma, California. Organization record, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1053287664 (Entity type: Organization)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Leticia Escoto, CEO
## Practice location
- **Address:** 1221 ROSE AVE, Selma, CA 93662-3227
- **Phone:** (559) 325-4447
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053287664) · Data from the CMS NPPES public registry.