Vituity Physician Services PC
NPI 1124884176 · Family Medicine Physician · Fontana, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124884176
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Birdsall, Chief Operations Officer(510) 350-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 800 E Lugonia Ave Ste FRedlands, CA 92374-2550Phone: (800) 722-4777
- 850 E Foothill BlvdRialto, CA 92376-5230Phone: (855) 422-8029
- 1499 E Highland AveSan Bernardino, CA 92404-4611Phone: (855) 422-8029
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.