VITAL MEDICAL GROUP, INC
NPI 1124886437
Family Medicine in Glendale, CA
About Vital Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL MEDICAL GROUP, INC (NPI 1124886437) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since March 2024. The organization lists Maxwell Jen, Medical Director, 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)
Vital Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Vital Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 23West Hollywood, CA 90048
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 Vital Medical Group, Inc's NPI number?
The NPI number for Vital Medical Group, Inc is 1124886437. It was assigned to this organization in the NPPES registry on March 11, 2024.
Where is Vital Medical Group, Inc located?
Vital Medical Group, Inc is located at 1314 W Glenoaks Blvd Ste 205, Glendale, CA 91201. The listed phone number is (818) 396-5158.
What is Vital Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vital Medical Group, Inc enrolled in Medicare?
Yes. Vital Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Vital Medical Group, 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. The largest specialties are Nurse Practitioner (16), Family Practice (3) and Internal Medicine (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vital Medical Group, Inc was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Vital Medical Group, Inc · NPI 1124886437
Family Medicine organization in Glendale, California. Organization record, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1124886437 (Entity type: Organization)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Maxwell Jen, MEDICAL DIRECTOR
## Practice location
- **Address:** 1314 W GLENOAKS BLVD STE 205, Glendale, CA 91201-4890
- **Phone:** (818) 396-5158 · **Fax:** (818) 396-5073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Family Practice (3), Internal Medicine (3); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1124886437/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124886437) · Data from the CMS NPPES public registry.