Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CORE IV HYDRATION AND MED SPA LLC
NPI 1912828179
Registered Nurse - Infusion Therapy in Tiburon, CA

Active since July 23, 2026
1 BLACKFIELD DR SUITE 2 #307, TIBURON, CA 94920(415) 850-3447 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Core Iv Hydration And Med Spa Llc NPPES

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

CORE IV HYDRATION AND MED SPA LLC (NPI 1912828179) is a healthcare organization registered as an infusion therapy in Tiburon, California and active in the NPI registry since July 2026. The organization lists Kim Nissen, Owner, as its authorized official.

NPPES Registry Identity

NPI1912828179
Entity TypeOrganization
Primary Taxonomy163WI0500X
Legal Business NameCORE IV HYDRATION AND MED SPA LLC
Location Address1 BLACKFIELD DR SUITE 2 #307Tiburon, CA 94920
Mailing Address1 Blackfield Dr Suite 2 #307Tiburon, CA 94920 · (415) 850-3447
Organization SubpartNo
Authorized OfficialKim NissenOwner · (415) 850-3447
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1912828179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Infusion TherapyNursing Service Providers
Taxonomy Code163WI0500X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Core IV Hydration And Med Spa LLC's NPI number?

The NPI number for Core IV Hydration And Med Spa LLC is 1912828179. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is Core IV Hydration And Med Spa LLC located?

Core IV Hydration And Med Spa LLC is located at 1 Blackfield Dr Suite 2 #307, Tiburon, CA 94920. The listed phone number is (415) 850-3447.

What is Core IV Hydration And Med Spa LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Infusion Therapy, with taxonomy code 163WI0500X.

When was this NPI record last updated?

The NPPES record for Core IV Hydration And Med Spa LLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.