LA VIDA CLINIC INC
NPI 1720824220
Internal Medicine in Riverside, CA

Active since July 03, 2024
1764 COLUMBIA AVE STE B, RIVERSIDE, CA 92507(951) 213-6962 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Jul 3, 2024 (2 updates tracked since 2024).

About La Vida Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA VIDA CLINIC INC (NPI 1720824220) is a healthcare organization registered as an internal medicine in Riverside, California and active in the NPI registry since July 2024. The organization lists Neil Katchman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720824220
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLA VIDA CLINIC INC
Location Address1764 COLUMBIA AVE STE BRiverside, CA 92507
Mailing Address1764 Columbia Ave Ste BRiverside, CA 92507 · (951) 213-6962
Organization SubpartNo
Authorized OfficialNeil KatchmanCeo · (951) 213-6962
Enumeration DateJuly 3, 2024
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1720824220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1764 COLUMBIA AVE STE B, Riverside, CA 92507

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Vida Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to La Vida Clinic Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Emergency Medicine
NPI 1053366047
229 W 7TH ST
San Jacinto, CA 92583
(951) 487-2550
✔ PECOS✔ Accepts Medicare27 mi
Emergency Medicine
NPI 1407808637
19749 CASTLEBAR DR
Rowland Heights, CA 91748
(949) 690-1912
✔ PECOS✔ Accepts Medicare30 mi

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 La Vida Clinic Inc's NPI number?

The NPI number for La Vida Clinic Inc is 1720824220. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is La Vida Clinic Inc located?

La Vida Clinic Inc is located at 1764 Columbia Ave Ste B, Riverside, CA 92507. The listed phone number is (951) 213-6962.

What is La Vida Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is La Vida Clinic Inc enrolled in Medicare?

Yes. La Vida Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Vida Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Emergency Medicine, reassign their Medicare billing to La Vida Clinic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Vida Clinic Inc was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.