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

NPI Status: Active since April 21, 2026

Contact Information

1804 BACON ST
SAN DIEGO, CA
ZIP 92107
Phone: (516) 395-2167

Get Directions Write a Review

  • Organization
  • Portable X-ray and/or Other Portable Dia...

About NEURAL VITA THERAPEUTICS

This page provides the complete NPI Profile along with additional information for Neural Vita Therapeutics, a provider established in San Diego, California operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1134064652 assigned on April 2026. The practitioner's primary taxonomy code is 335V00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Mr. Jesse James Fowler (Coo)

NPI
1134064652
Provider Name
NEURAL VITA THERAPEUTICS
Entity Type
Organization
Location Address
1804 BACON ST SAN DIEGO, CA 92107
Location Phone
(516) 395-2167
Mailing Address
1804 BACON ST SAN DIEGO, CA 92107
Mailing Phone
(516) 395-2167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2026
Last Update Date
04-21-2026
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174200000XOther Service Providers

Meals

 
2251B00000XAgencies

Case Management

 
3251E00000XAgencies

Home Health

 
4251F00000XAgencies

Home Infusion

 
5251K00000XAgencies

Public Health or Welfare

 
6251S00000XAgencies

Community/Behavioral Health

 
7251V00000XAgencies

Voluntary or Charitable

 
8252Y00000XAgencies

Early Intervention Provider Agency

 
9261QM1102XAmbulatory Health Care Facilities

Clinic/Center
Military Outpatient Operational (Transportable) Component

 
10261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
11261QR1100XAmbulatory Health Care Facilities

Clinic/Center
Research

 
12332U00000XSuppliers

Home Delivered Meals

 
13343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JESSE JAMES FOWLER

Authorized Official Title
COO
Authorized Official Phone
(516) 395-2167

Reviews for NEURAL VITA THERAPEUTICS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134064652, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 0 + 6 + 8 + 6 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1134064652.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134064652, enumerated as an "organization" on April 21, 2026.

The provider is located at 1804 BACON ST SAN DIEGO, CA 92107 and the phone number is (516) 395-2167.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.