KETAMINE UPLIFT INC.
NPI 1942156955
Clinic/Center - Multi-Specialty in Marina Del Rey, CA
About Ketamine Uplift Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETAMINE UPLIFT INC. (NPI 1942156955) is a healthcare organization registered as a multi-specialty in Marina Del Rey, California and active in the NPI registry since March 2026. The organization lists Geoffery Alan O'neill, President/owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ketamine Uplift Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ketamine Uplift Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Ketamine Uplift Inc.'s NPI number?
The NPI number for Ketamine Uplift Inc. is 1942156955. It was assigned to this organization in the NPPES registry on March 10, 2026.
Where is Ketamine Uplift Inc. located?
Ketamine Uplift Inc. is located at 4640 Admiralty Way # 718A, Marina Del Rey, CA 90292. The listed phone number is (310) 280-4440.
What is Ketamine Uplift Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Ketamine Uplift Inc. enrolled in Medicare?
Yes. Ketamine Uplift Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ketamine Uplift Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Ketamine Uplift 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 Ketamine Uplift Inc. was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ketamine Uplift Inc. · NPI 1942156955
Multi-Specialty organization in Marina Del Rey, California. Organization record, active in the CMS NPPES registry since March 10, 2026.
## Identity
- **NPI:** 1942156955 (Entity type: Organization)
- **Enumerated:** March 10, 2026
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Geoffery O'neill, PRESIDENT/OWNER/MEDICAL DIRECTOR
## Practice location
- **Address:** 4640 ADMIRALTY WAY # 718A, Marina Del Rey, CA 90292-6621
- **Phone:** (310) 280-4440 · **Fax:** (310) 929-8436
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942156955) · Data from the CMS NPPES public registry.