INNERBLOOM KETAMINE THERAPY
NPI 1184430696
Integrative Medicine in San Luis Obispo, CA
NPI Status: Active since December 09, 2024
Contact Information
100 CASA ST STE D3
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 321-8471
Fax: (805) 567-6604
- Organization
- Integrative Medicine
About INNERBLOOM KETAMINE THERAPY
This page provides the complete NPI Profile along with additional information for Innerbloom Ketamine Therapy, a provider established in San Luis Obispo, California operating as a Integrative Medicine. The healthcare provider is registered in the NPI registry with number 1184430696 assigned on December 2024. The practitioner's primary taxonomy code is 202D00000X. The provider is registered as an organization and their NPI record was last updated March 2026. Innerbloom Ketamine Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ray Rivas Md (Md)
- NPI
- 1184430696
- Provider Name
- INNERBLOOM KETAMINE THERAPY
- Entity Type
- Organization
- Location Address
- 100 CASA ST STE D3 SAN LUIS OBISPO, CA 93405
- Location Phone
- (805) 321-8471
- Location Fax
- (805) 567-6604
- Mailing Address
- 100 CASA ST STE D3 SAN LUIS OBISPO, CA 93405
- Mailing Phone
- (805) 321-8471
- Mailing Fax
- (805) 567-6604
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2024
- Last Update Date
- 03-03-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Integrative Medicine
- Taxonomy Code
- 202D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184430696, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SAN LUIS OBISPO, CA 93405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184430696, enumerated as an "organization" on December 09, 2024.
The provider is located at 100 CASA ST STE D3 SAN LUIS OBISPO, CA 93405 and the phone number is (805) 321-8471.
Integrative Medicine with taxonomy code 202D00000X.
