Vitality Internal Medicine - Phoenix PLLC
NPI 1407200868 · Primary Care Clinic/Center · Phoenix, AZ
Vitality Internal Medicine - Phoenix PLLC is a Primary Care Clinic/Center organization in Phoenix, AZ (NPI 1407200868).
Provider details
- NPI number
- 1407200868
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Evans, Owner(602) 791-9112
- License
- 37616 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2016-04-21
Frequently asked questions
- What is Vitality Internal Medicine - Phoenix PLLC's NPI number?
- Vitality Internal Medicine - Phoenix PLLC's National Provider Identifier (NPI) is 1407200868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Internal Medicine - Phoenix PLLC?
- Vitality Internal Medicine - Phoenix PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vitality Internal Medicine - Phoenix PLLC located?
- Vitality Internal Medicine - Phoenix PLLC's practice location on file with NPPES is 4643 N 12th St, Phoenix, AZ 85014-4006.
- What is Vitality Internal Medicine - Phoenix PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Internal Medicine - Phoenix PLLC is (602) 626-8986.
- Who is the authorized official for Vitality Internal Medicine - Phoenix PLLC?
- The authorized official listed on Vitality Internal Medicine - Phoenix PLLC's NPPES record is Charles Evans, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Internal Medicine - Phoenix PLLC's NPI active?
- Yes — Vitality Internal Medicine - Phoenix PLLC's NPI (1407200868) is active in the NPPES registry as of the last update on 2016-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.