MEDICARE: VITUITY - URGENT CARE SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	261Q00000X	Clinic/Center
3	207P00000X	Emergency Medicine Physician
4	208D00000X	General Practice Physician
5	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1013588250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITUITY - URGENT CARE SERVICES PC

Provider Business Mailing Address
First Line	:	2100 POWELL ST STE 400
Second Line	:
City	:	EMERYVILLE
State	:	CA
Zip	:	94608-1826
Country	:	US
Telephone Number	:	510-350-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4062 FLYING C RD STE 41
Second Line	:
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-9664
Country	:	US
Telephone Number	:	530-676-8234
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	DAVID ANDREW BIRDSALL
Credential	:	MD
Telephone Number	:	510-851-7411

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	09/11/2025

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