NEURAL VITA THERAPEUTICS
NPI 1134064652
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in San Diego, CA

Q: What is Neural Vita Therapeutics's NPI number?

The NPI number for Neural Vita Therapeutics is 1134064652. It was assigned to this organization in the NPPES registry on April 21, 2026.

Q: What is Neural Vita Therapeutics's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

Active since April 21, 2026

1804 BACON ST, SAN DIEGO, CA 92107(516) 395-2167 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Neural Vita Therapeutics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURAL VITA THERAPEUTICS (NPI 1134064652) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in San Diego, California and active in the NPI registry since April 2026. The organization lists Jesse James Fowler, Coo, as its authorized official.

NPPES Registry Identity

NPI1134064652

Entity TypeOrganization

Primary Taxonomy335V00000X

Legal Business NameNEURAL VITA THERAPEUTICS

Location Address1804 BACON STSan Diego, CA 92107-3004

Mailing Address1804 Bacon StSan Diego, CA 92107-3004 · (516) 395-2167

Phone(516) 395-2167

Organization SubpartNo

Authorized OfficialJesse James FowlerCoo · (516) 395-2167

Enumeration DateApril 21, 2026

NPPES CertifiedApril 21, 2026

✔ NPI 1134064652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers

Taxonomy Code335V00000X

Definition

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Also ListedMealsTaxonomy 174200000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedHome InfusionTaxonomy 251F00000X

Also ListedPublic Health or WelfareTaxonomy 251K00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedVoluntary or CharitableTaxonomy 251V00000X

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

Also ListedClinic/Center · Military Outpatient Operational (Transportable) ComponentTaxonomy 261QM1102X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedClinic/Center · ResearchTaxonomy 261QR1100X

Also ListedHome Delivered MealsTaxonomy 332U00000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

1804 BACON ST, San Diego, CA 92107

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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 Neural Vita Therapeutics's NPI number?

The NPI number for Neural Vita Therapeutics is 1134064652. It was assigned to this organization in the NPPES registry on April 21, 2026.

Where is Neural Vita Therapeutics located?

Neural Vita Therapeutics is located at 1804 Bacon St, San Diego, CA 92107. The listed phone number is (516) 395-2167.

What is Neural Vita Therapeutics's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Neural Vita Therapeutics was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.