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VITAL HEALTH MEDICAL GROUP, INC.
NPI 1366839656
Internal Medicine - Geriatric Medicine in Los Angeles, CA

Active since April 24, 2015CLIA Certified · 2 labs
6245 DE LONGPRE AVE FL 2, LOS ANGELES, CA 90028(323) 499-1350(323) 798-3021 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2021, Feb 13, 2020 (2 updates tracked since 2020).

About Vital Health Medical Group, Inc. NPPES

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

VITAL HEALTH MEDICAL GROUP, INC. (NPI 1366839656) is a healthcare organization registered as a geriatric medicine in Los Angeles, California and active in the NPI registry since April 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in West Covina, and lists Marcel S Filart, President, as its authorized official.

NPPES Registry Identity

NPI1366839656
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameVITAL HEALTH MEDICAL GROUP, INC.
Location Address6245 DE LONGPRE AVE FL 2Los Angeles, CA 90028-8253
Mailing Address6245 De Longpre Ave Fl 2Los Angeles, CA 90028-8253 · (323) 499-1350 · Fax (323) 798-3021
Phone(323) 499-1350
Fax(323) 798-3021
Organization SubpartNo
Authorized OfficialMarcel S FilartPresident · (323) 499-1350
Enumeration DateApril 24, 2015
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1366839656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · A76022
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License A76022 (CA)
6245 DE LONGPRE AVE FL 2, Los Angeles, CA 90028
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Secondary Practice Location 1

Location 12418 S Azusa AveWest Covina, CA 91792-1527 · Phone (626) 667-8780 · Fax (626) 667-8781

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2159440

Vital Health Medical Group Inc · Los Angeles, CA
Active · expires Dec 17, 2026
CLIA Number05D2159440
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorMarcel Filart MD
Laboratory Phone(323) 499-1350
Laboratory LocationVital Health Medical Group Inc6245 De Longpre Avenue, Los Angeles, CA 90028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2090326

Vital Health Medical Group Inc · West Covina, CA
Active · expires Jan 20, 2027
CLIA Number05D2090326
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorMarcel S. Filart
Laboratory Phone(332) 499-1005
Laboratory LocationVital Health Medical Group Inc2418 S Azusa Avenue, West Covina, CA 91792
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

TAMARA MARGOLIS
Nurse Practitioner (Family)
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
Los Angeles County (323) 499-1350
KENDELL WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
Los Angeles County (888) 783-1883
MR. KYLE FRANCIS MANUEL MEJICO
Nurse Practitioner (Psychiatric/Mental Health)
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
Los Angeles County (888) 783-1883
MR. JOHN DE VERA NP
Nurse Practitioner (Family)
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
Los Angeles County (323) 499-1350
JENIFER L CARPENTER BUCKLEY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
Los Angeles County (661) 888-0195
SOUTHERN CALIFORNIA PHYSICIANS ALLIANCE INC
Family Medicine (Geriatric Medicine)
6245 DE LONGPRE AVE FL 2
LOS ANGELES, CA 90028
Los Angeles County (323) 499-1350

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 Health Medical Group, Inc.'s NPI number?

The NPI number for Vital Health Medical Group, Inc. is 1366839656. It was assigned to this organization in the NPPES registry on April 24, 2015.

Where is Vital Health Medical Group, Inc. located?

Vital Health Medical Group, Inc. is located at 6245 De Longpre Ave Fl 2, Los Angeles, CA 90028. The listed phone number is (323) 499-1350.

What is Vital Health Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Vital Health Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vital Health Medical Group, Inc. was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.