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Vivid Med Spa, Professional Corporation

Infusion Therapy Clinic/Center in Ukiah, CA · enumerated 2026 · authorized official Ria Jivan, Ceo.

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

National Provider Identifier

1619823036

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Registry record

Entity type Organization (Type 2)
Legal business name Vivid Med Spa, Professional Corporation
Practice address 166 E Gobbi St, Ukiah, CA, 95482
Phone (707) 414-0419
Enumeration date Mar 9, 2026
Last updated in NPPES Mar 9, 2026

Taxonomy & classification

251F00000X Home Infusion Agency Agencies Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Primary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Ria Jivan
Title Ceo
Phone (903) 363-5914

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 Vivid Med Spa, Professional Corporation?
The NPI for Vivid Med Spa, Professional Corporation is 1619823036, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Vivid Med Spa, Professional Corporation?
NPPES lists Ria Jivan (Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-09.