Vividlife Ketamine Clinic — NPI 1992575682
Vividlife Ketamine Clinic’s National Provider Identifier is 1992575682. NPPES classifies this as a Type 2 organization record and reports a practice location in Concord, California. The primary taxonomy is Health Service Clinic/Center.
Key facts
- NPI
- 1992575682
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 5167 CLAYTON RD STE H
Concord, California 94521 - Practice telephone
- (323) 336-1178
- Primary taxonomy
- Health Service Clinic/Center
- Enumeration date
- January 4, 2024
- NPPES last update
- April 10, 2025
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Vividlife Ketamine Clinic?
The NPI listed for Vividlife Ketamine Clinic in the NPPES snapshot is 1992575682. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1992575682 an individual or organization record?
NPPES records NPI 1992575682 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 5167 CLAYTON RD STE H, Concord, California 94521.
What taxonomy codes are listed for this NPI?
One taxonomy code is listed: Health Service Clinic/Center (261QH0100X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of April 10, 2025 and an enumeration date of January 4, 2024, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Concord, California NPI directory and the California NPI directory.
Other published profiles in Concord, CA
Up to ten other profiles this site publishes for Concord, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 20 published profiles.
Corrections and removal requests
To change the underlying record, the provider or an authorized representative must update it with CMS through the NPPES provider portal; this site cannot edit NPPES data. Changes appear here only after a later monthly file is processed.
To report a presentation error on this site, or to ask that a practice address or telephone number be suppressed from this page, email contact@npireference.com with the NPI and the request. See the corrections page for the full process and timelines. Do not include patient or clinical information.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.