1. Home
  2. Directory
  3. California
  4. Concord
  5. Clinic Center
  6. NPI Profile

VIVIDLIFE KETAMINE CLINIC
NPI 1992575682
Clinic/Center - Health Service in Concord, CA

Active since January 04, 2024
5167 CLAYTON RD STE H, CONCORD, CA 94521(323) 336-1178 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Mar 20, 2025, Jan 4, 2024 (3 updates tracked since 2024).

About Vividlife Ketamine Clinic NPPES

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

VIVIDLIFE KETAMINE CLINIC (NPI 1992575682) is a healthcare organization registered as a health service in Concord, California and active in the NPI registry since January 2024. The organization lists Be-verlyn Navarro, Np, as its authorized official.

NPPES Registry Identity

NPI1992575682
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameVIVIDLIFE KETAMINE CLINIC
Location Address5167 CLAYTON RD STE HConcord, CA 94521-3170
Mailing Address5167 Clayton Rd Ste HConcord, CA 94521-3170 · (925) 489-2984
Phone(323) 336-1178
Organization SubpartNo
Authorized OfficialBe-verlyn NavarroNp · (323) 336-1178
Enumeration DateJanuary 4, 2024
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1992575682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
5167 CLAYTON RD STE H, Concord, CA 94521
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BE-VERLYN NAVARRO NP
Nurse Practitioner (Primary Care)
5167 CLAYTON RD STE H
CONCORD, CA 94521
Contra Costa County (323) 336-1178

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 Vividlife Ketamine Clinic's NPI number?

The NPI number for Vividlife Ketamine Clinic is 1992575682. It was assigned to this organization in the NPPES registry on January 4, 2024.

Where is Vividlife Ketamine Clinic located?

Vividlife Ketamine Clinic is located at 5167 Clayton Rd Ste H, Concord, CA 94521. The listed phone number is (323) 336-1178.

What is Vividlife Ketamine Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Vividlife Ketamine Clinic was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.