VITAL PRO HEALTH PLLC
NPI 1902625775
Family Medicine in Redmond, WA

NPI Status: Active since October 08, 2024

Contact Information

2007 152ND AVE NE
REDMOND, WA
ZIP 98052
Phone: (425) 453-6838
Fax: (425) 456-0106

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  • Organization
  • Family Medicine
  • CLIA Number: 50D2319427
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About VITAL PRO HEALTH PLLC

This page provides the complete NPI Profile along with additional information for Vital Pro Health Pllc, a primary care provider established in Redmond, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1902625775 assigned on October 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated February 2025. Vital Pro Health Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Yakov Grinberg Md (Co-owner)

NPI
1902625775
Provider Name
VITAL PRO HEALTH PLLC
Entity Type
Organization
Location Address
2007 152ND AVE NE REDMOND, WA 98052
Location Phone
(425) 453-6838
Location Fax
(425) 456-0106
Mailing Address
2007 152ND AVE NE REDMOND, WA 98052
Mailing Phone
(425) 453-6838
Mailing Fax
(425) 456-0106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2024
Last Update Date
02-25-2025
Code Navigator

A primary care provider (PCP) like Vital Pro Health Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YAKOV GRINBERG MD

Authorized Official Title
CO-OWNER
Authorized Official Phone
(425) 453-6838

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2319427
Facility Type
Physician Office
Certificate Effective Date
February 27, 2025
Certificate Expiration Date
April 04, 2028
Laboratory Director
IRINE VAIMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vital Pro Health Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VITAL PRO HEALTH PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902625775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290212210714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 2 + 2 + 1 + 0 + 7 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1902625775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326013996ADVANCED FAMILY MEDICINE, PLLC
Organization
Family Medicine2007 152ND AVE NE
REDMOND, WA 98052
(425) 453-6838
1932432531 TATYANA SOLOVYEVA
Individual
Massage Therapist2007 152ND AVE NE
REDMOND, WA 98052
(425) 453-6838
1932305026DR. LIUBOV ENDRIKHOVSKAYA M.D.
Individual
Family Medicine2007 152ND AVE NE
REDMOND, WA 98052
(425) 453-6838
1285244079WELLNESS GROUP, PLLC
Organization
Chiropractor2007 152ND AVE NE SUITE W
REDMOND, WA 98052
(425) 207-3476
1902617095BELRED FAMILY MEDICINE PLLC
Organization
Family Medicine2007 152ND AVE NE
REDMOND, WA 98052
(425) 453-6838
1366417982 IRINE L VAIMAN M.D.
Individual
Family Medicine2007 152ND AVE NE
REDMOND, WA 98052
(425) 440-7777
1417922048 YAKOV P GRINBERG M.D.
Individual
Internal Medicine2007 152ND AVE NE
REDMOND, WA 98052
(425) 453-6838
1366417909 NATALIA PASUMANSKY DNP
Individual
Nurse Practitioner (Family)2007 152ND AVE NE
REDMOND, WA 98052
(425) 440-7760
1902792625ZERO TO 120 CARE, PLLC
Organization
Nurse Practitioner (Family)2007 152ND AVE NE
REDMOND, WA 98052
(425) 440-7760

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902625775, enumerated in the NPI registry as an "organization" on October 08, 2024

The provider is located at 2007 152nd Ave Ne Redmond, Wa 98052 and the phone number is (425) 453-6838

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 50D2319427 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 08, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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