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BUEN VITA IV MED SPA
NPI 1902633126
Family Medicine in Turlock, CA

Active since September 19, 2024
2330 COLORADO AVE, TURLOCK, CA 95382(209) 250-2535(209) 633-3433 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, Sep 19, 2024 (2 updates tracked since 2024).

About Buen Vita Iv Med Spa NPPES

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

BUEN VITA IV MED SPA (NPI 1902633126) is a healthcare organization registered as a family medicine in Turlock, California and active in the NPI registry since September 2024. The organization lists Jose Buenrostro, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902633126
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBUEN VITA IV MED SPA PROFESSIONAL CORPORATION
Location Address2330 COLORADO AVETurlock, CA 95382-2013
Mailing Address2330 Colorado AveTurlock, CA 95382-2013 · (209) 250-2535 · Fax (209) 633-3433
Phone(209) 250-2535
Fax(209) 633-3433
Organization SubpartNo
Authorized OfficialJose BuenrostroMedical Director · (209) 250-2535
Enumeration DateSeptember 19, 2024
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1902633126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2330 COLORADO AVE, Turlock, CA 95382
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Other Names 1

Doing Business AsBuen Vita Iv Med Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buen Vita Iv Med Spa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Buen Vita IV Med Spa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Buenrostro, M.D.
Family Practice
NPI 1861839151
3605 HOSPITAL RD
Atwater, CA 95301
(209) 381-2000
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Buen Vita IV Med Spa Professional Corporation's NPI number?

The NPI number for Buen Vita IV Med Spa Professional Corporation is 1902633126. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Buen Vita IV Med Spa.

Where is Buen Vita IV Med Spa Professional Corporation located?

Buen Vita IV Med Spa Professional Corporation is located at 2330 Colorado Ave, Turlock, CA 95382. The listed phone number is (209) 250-2535.

What is Buen Vita IV Med Spa Professional Corporation's specialty?

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

Is Buen Vita IV Med Spa Professional Corporation enrolled in Medicare?

Yes. Buen Vita IV Med Spa Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Buen Vita IV Med Spa Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Buen Vita IV Med Spa Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Buen Vita IV Med Spa Professional Corporation was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.