Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neural Vita Therapeutics

Organization Meals Provider · NPI 1134064652

Neural Vita Therapeutics is a Meals Provider in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
14

Practice location Address checks out

1804 Bacon St
San Diego, CA 92107-3004
Phone: (516) 395-2167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary) Taxonomy 335V00000X
Meals Provider Taxonomy 174200000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X
Public Health or Welfare Agency Taxonomy 251K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
Military Outpatient Operational (Transportable) Component Clinic/Center Taxonomy 261QM1102X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Research Clinic/Center Taxonomy 261QR1100X
Home Delivered Meals Taxonomy 332U00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1134064652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Fowler — Coo · (516) 395-2167
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address1804 Bacon St, San Diego, CA 92107-3004

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