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Innerbloom Ketamine Therapy

Integrative Medicine Physician in San Luis Obispo, CA · enumerated 2024 · authorized official Ray Rivas, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184430696

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Registry record

Entity type Organization (Type 2)
Legal business name Innerbloom Ketamine Therapy
Practice address 100 Casa St Ste D3, San Luis Obispo, CA, 93405
Phone (805) 321-8471
Fax (805) 567-6604
Enumeration date Dec 9, 2024
Last updated in NPPES Mar 3, 2026

Taxonomy & classification

202D00000X Integrative Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ray Rivas
Title MD
Phone (805) 321-8471

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Innerbloom Ketamine Therapy?
The NPI for Innerbloom Ketamine Therapy is 1184430696, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Innerbloom Ketamine Therapy?
NPPES lists Ray Rivas (MD) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-03.