VITAL PRO HEALTH PLLC
NPI 1902625775
Family Medicine in Redmond, WA

Q: What is Vital Pro Health PLLC's NPI number?

The NPI number for Vital Pro Health PLLC is 1902625775. It was assigned to this organization in the NPPES registry on October 8, 2024.

Q: What is Vital Pro Health PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 08, 2024CLIA 50D2319427 · Waiver

2007 152ND AVE NE, REDMOND, WA 98052(425) 453-6838(425) 456-0106 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2025, Oct 8, 2024 (2 updates tracked since 2024).

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About Vital Pro Health Pllc NPPES

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

VITAL PRO HEALTH PLLC (NPI 1902625775) is a healthcare organization registered as a family medicine in Redmond, Washington and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Yakov Grinberg, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1902625775

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVITAL PRO HEALTH PLLC

Location Address2007 152ND AVE NERedmond, WA 98052-5521

Mailing Address2007 152nd Ave NeRedmond, WA 98052-5521 · (425) 453-6838 · Fax (425) 456-0106

Phone(425) 453-6838

Fax(425) 456-0106

Organization SubpartNo

Authorized OfficialYakov GrinbergCo-owner · (425) 453-6838

Enumeration DateOctober 8, 2024

Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1902625775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

2007 152ND AVE NE, Redmond, WA 98052

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 50D2319427

Vital Pro Health, PLLC · Redmond, WA

Active · expires Apr 4, 2028

CLIA Number50D2319427

Laboratory TypePhysician Office

Certificate Effective DateFebruary 27, 2025

Certificate Expiration DateApril 4, 2028

Laboratory DirectorIrine Vaiman

Laboratory Phone(425) 440-7777

Laboratory LocationVital Pro Health, PLLC2007 152nd Ave NE St V, Redmond, WA 98052

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 9

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

WELLNESS GROUP PHYSICAL THERAPY, PLLC

Physical Therapist

2007 152ND AVE NE, SUITE W
REDMOND, WA 98052

King County (425) 207-3476

ADVANCED FAMILY MEDICINE, PLLC

Family Medicine