VITAL HEALTH CA MEDICAL GROUP
NPI 1922728898
Family Medicine in Penn Valley, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vital Health Ca Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Vital Health Ca Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Sacramento, CA 95819
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Vital Health Ca Medical Group enrolled in Medicare?
Yes. Vital Health Ca Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Health Ca Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Vital Health Ca Medical Group, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 47 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.
# Vital Health Ca Medical Group · NPI 1922728898
Family Medicine organization in Penn Valley, California. Organization record, active in the CMS NPPES registry since August 31, 2022.
## Identity
- **NPI:** 1922728898 (Entity type: Organization)
- **Enumerated:** August 31, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Vital Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brooke Jungi, PRACTICE MANAGER
## Practice location
- **Address:** 11386 PLEASANT VALLEY RD, Penn Valley, CA 95946-9000
- **Phone:** (530) 451-6234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Internal Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2026
- **Other identifiers:** Other 0
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922728898) · Data from the CMS NPPES public registry.