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VITAL HEALTH
NPI 1922728898
Family Medicine in El Dorado Hills, CA

Active since August 31, 2022CLIA 05D2289172 · Waiver
4944 WINDPLAY DR STE 112, EL DORADO HILLS, CA 95762(202) 309-9677 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2022, Oct 6, 2022, Aug 31, 2022 (3 updates tracked since 2022).

About Vital Health NPPES

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

VITAL HEALTH (NPI 1922728898) is a healthcare organization registered as a family medicine in El Dorado Hills, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 5, 2027, maintains a secondary practice location in Penn Valley, and lists Brooke Jungi, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1922728898
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITAL HEALTH CA MEDICAL GROUP
Location Address4944 WINDPLAY DR STE 112El Dorado Hills, CA 95762-9310
Mailing Address4944 Windplay Dr Ste 112El Dorado Hills, CA 95762-9310
Phone(202) 309-9677
Organization SubpartNo
Authorized OfficialBrooke JungiPractice Manager · (530) 451-6234
Enumeration DateAugust 31, 2022
Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1922728898 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.
4944 WINDPLAY DR STE 112, El Dorado Hills, CA 95762
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Other Names 1

Doing Business AsVital Health

Secondary Practice Location 1

Location 111386 Pleasant Valley RdPenn Valley, CA 95946-9000 · Phone (530) 451-6234

Other Identifiers 1

Other0N/a

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 MULTIPLE SINGLE SPECIALTY GROUP

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 05D2289172

Vital Health Ca Medical Group · Penn Valley, CA
Active · expires Sep 5, 2027
CLIA Number05D2289172
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorMark E. Knoble
Laboratory Phone(560) 451-6234
Laboratory LocationVital Health Ca Medical Group11386 Pleasant Valley Rd, Penn Valley, CA 95946
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ca Medical Group's NPI number?

The NPI number for Vital Health Ca Medical Group is 1922728898. It was assigned to this organization in the NPPES registry on August 31, 2022. The provider is doing business as Vital Health.

Where is Vital Health Ca Medical Group located?

Vital Health Ca Medical Group is located at 4944 Windplay Dr Ste 112, El Dorado Hills, CA 95762. The listed phone number is (202) 309-9677.

What is Vital Health Ca Medical Group's specialty?

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

Does Vital Health Ca Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2289172) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vital Health Ca Medical Group was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.