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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VITAL HEALTH CA MEDICAL GROUP
NPI 1922728898
Family Medicine in Penn Valley, CA

Active since August 31, 2022CLIA 05D2289172 · Waiver
11386 PLEASANT VALLEY RD, PENN VALLEY, CA 95946(530) 451-6234 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Dec 5, 2022, Oct 6, 2022 and 1 more (4 updates tracked since 2022).

About Vital Health Ca Medical Group NPPES

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

VITAL HEALTH CA MEDICAL GROUP (NPI 1922728898), doing business as Vital Health, is a healthcare organization registered as a family medicine in Penn Valley, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 5, 2027 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 Address11386 PLEASANT VALLEY RDPenn Valley, CA 95946-9000
Mailing Address11386 Pleasant Valley RdPenn Valley, CA 95946-9000 · (530) 451-6233 · Fax (866) 531-4132
Phone(530) 451-6234
Organization SubpartNo
Authorized OfficialBrooke JungiPractice Manager · (530) 451-6234
Enumeration DateAugust 31, 2022
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ 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.
11386 PLEASANT VALLEY RD, Penn Valley, CA 95946
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Other Names 1

Doing Business AsVital Health

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.

Other Providers at the Same Location NPPES 4

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

CLAIRE H LEVE MD
General Practice
11386 PLEASANT VALLEY RD
PENN VALLEY, CA 95946
Nevada County (530) 451-6234
DOUG STONE NP
Family Medicine
11386 PLEASANT VALLEY RD
PENN VALLEY, CA 95946
Nevada County (530) 451-6234
LINDA MAE BUNDY APRN
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11386 PLEASANT VALLEY RD
PENN VALLEY, CA 95946
Nevada County (530) 451-6234
IAN MACARTHUR GOW P.A-N
Nurse Practitioner (Family)
11386 PLEASANT VALLEY RD
PENN VALLEY, CA 95946
Nevada County (888) 966-2398

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 11386 Pleasant Valley Rd, Penn Valley, CA 95946. The listed phone number is (530) 451-6234.

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 September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.