VIVIDERM WOUND CARE
NPI 1407654189
In Home Supportive Care in Corona, CA
About Vividerm Wound Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIDERM WOUND CARE (NPI 1407654189) is a healthcare organization registered as an in home supportive care in Corona, California and active in the NPI registry since March 2025. The organization lists Sophia P Ho, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vividerm Wound Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Vividerm Wound Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vividerm Wound Care's NPI number?
The NPI number for Vividerm Wound Care is 1407654189. It was assigned to this organization in the NPPES registry on March 6, 2025.
Where is Vividerm Wound Care located?
Vividerm Wound Care is located at 4081 Pomelo Dr, Corona, CA 92883. The listed phone number is (714) 417-4452.
What is Vividerm Wound Care's specialty?
The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.
Is Vividerm Wound Care enrolled in Medicare?
Yes. Vividerm Wound Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vividerm Wound Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Vividerm Wound Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vividerm Wound Care was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vividerm Wound Care · NPI 1407654189
In Home Supportive Care organization in Corona, California. Organization record, active in the CMS NPPES registry since March 6, 2025.
## Identity
- **NPI:** 1407654189 (Entity type: Organization)
- **Enumerated:** March 6, 2025
- **Primary specialty:** In Home Supportive Care · taxonomy 253Z00000X
- **Organization subpart:** No
- **Authorized official:** Sophia Ho, MEDICAL DIRECTOR
## Practice location
- **Address:** 4081 POMELO DR, Corona, CA 92883-3697
- **Phone:** (714) 417-4452
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407654189) · Data from the CMS NPPES public registry.