VITALITY INTERNAL MEDICINE - PHOENIX PLLC
NPI 1407200868
Clinic/Center - Primary Care in Phoenix, AZ

Q: What is Vitality Internal Medicine - Phoenix PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 21, 2016

4643 N 12TH ST, STE 101, PHOENIX, AZ 85014(602) 626-8986 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Vitality Internal Medicine - Phoenix Pllc NPPES

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

VITALITY INTERNAL MEDICINE - PHOENIX PLLC (NPI 1407200868) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since April 2016. The organization lists Charles B Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1407200868

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameVITALITY INTERNAL MEDICINE - PHOENIX PLLC

Location Address4643 N 12TH ST, STE 101Phoenix, AZ 85014-4006

Mailing Address8776 E Shea Blvd, Ste B3a-129Scottsdale, AZ 85260-6629

Phone(602) 626-8986

Organization SubpartNo

Authorized OfficialCharles B EvansOwner · (602) 791-9112

Enumeration DateApril 21, 2016

✔ NPI 1407200868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in AZ · 37616

4643 N 12TH ST, Phoenix, AZ 85014

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

VITALITY CLINICAL LABORATORIES PLLC

Clinical Medical Laboratory

4643 N 12TH ST, STE 101
PHOENIX, AZ 85014

Maricopa County (602) 791-9112

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 Vitality Internal Medicine - Phoenix PLLC's NPI number?

The NPI number for Vitality Internal Medicine - Phoenix PLLC is 1407200868. It was assigned to this organization in the NPPES registry on April 21, 2016.

Where is Vitality Internal Medicine - Phoenix PLLC located?

Vitality Internal Medicine - Phoenix PLLC is located at 4643 N 12th St Ste 101, Phoenix, AZ 85014. The listed phone number is (602) 626-8986.

What is Vitality Internal Medicine - Phoenix PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Vitality Internal Medicine - Phoenix PLLC was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.