VIVID MED SPA, PROFESSIONAL CORPORATION
NPI 1619823036
Clinic/Center - Infusion Therapy in Ukiah, CA

NPI Status: Active since March 09, 2026

Contact Information

166 E GOBBI ST
UKIAH, CA
ZIP 95482
Phone: (707) 414-0419

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  • Organization
  • Clinic/Center
  • Infusion Therapy

About VIVID MED SPA, PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Vivid Med Spa, Professional Corporation, a provider established in Ukiah, California operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1619823036 assigned on March 2026. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Mrs. Ria Prakash Jivan Rn (Ceo)

NPI
1619823036
Provider Name
VIVID MED SPA, PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
166 E GOBBI ST UKIAH, CA 95482
Location Phone
(707) 414-0419
Mailing Address
166 E GOBBI ST UKIAH, CA 95482
Mailing Phone
(707) 414-0419
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2026
Last Update Date
03-09-2026
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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

Clinic/Center Infusion Therapy

Taxonomy Code
261QI0500X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251F00000XAgencies

Home Infusion

 
2261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
3261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
4261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RIA PRAKASH JIVAN RN

Authorized Official Title
CEO
Authorized Official Phone
(903) 363-5914

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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 1619823036, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 6 + 2 + 6 + 0 + 6 + 24 = 64

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.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1619823036.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619823036, enumerated as an "organization" on March 09, 2026.

The provider is located at 166 E GOBBI ST UKIAH, CA 95482 and the phone number is (707) 414-0419.

Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.