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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VITALEN INPATIENT CARE PC
NPI 1275432064
Internal Medicine - Addiction Medicine in Jackson, CA

Active since November 05, 2026
200 MISSION BLVD, JACKSON, CA 95642(209) 223-7500 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vitalen Inpatient Care Pc NPPES

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

VITALEN INPATIENT CARE PC (NPI 1275432064) is a healthcare organization registered as an addiction medicine in Jackson, California and active in the NPI registry since November 2026. The organization lists David Birdsall, Chief Operations Officer & Vp, as its authorized official.

NPPES Registry Identity

NPI1275432064
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameVITALEN INPATIENT CARE PC
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing Address2100 Powell St Ste 400Emeryville, CA 94608-1872
Phone(209) 223-7500
Organization SubpartNo
Authorized OfficialDavid BirdsallChief Operations Officer & Vp · (510) 851-7552
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1275432064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
200 MISSION BLVD, Jackson, CA 95642
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA LEE PROVERBS PA-C
Physician Assistant
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
MOTHER LODE DIAGNOSTIC IMAGING INC
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-0949
MARY MICHELLE VANFOSSAN RD
Dietitian, Registered
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 257-7635
HASHIM RAHIM CHAUDHRY DO
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
LATHA SUNIL KUMAR M.D
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
SEAN KELLEY M.D.
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
AMADOR ANESTHESIA MEDICAL GROUP, INC.
Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
SOUND INPATIENT PHYSICIANS MEDICAL GROUP
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500

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 Vitalen Inpatient Care PC's NPI number?

The NPI number for Vitalen Inpatient Care PC is 1275432064. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Vitalen Inpatient Care PC located?

Vitalen Inpatient Care PC is located at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 223-7500.

What is Vitalen Inpatient Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Vitalen Inpatient Care PC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.