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

NPI Status: Active since January 04, 2024

Contact Information

5167 CLAYTON RD STE H
CONCORD, CA
ZIP 94521
Phone: (323) 336-1178

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  • Organization
  • Clinic/Center
  • Health Service

About VIVIDLIFE KETAMINE CLINIC

This page provides the complete NPI Profile along with additional information for Vividlife Ketamine Clinic, a provider established in Concord, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1992575682 assigned on January 2024. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Be-verlyn Navarro (Np)

NPI
1992575682
Provider Name
VIVIDLIFE KETAMINE CLINIC
Entity Type
Organization
Location Address
5167 CLAYTON RD STE H CONCORD, CA 94521
Location Phone
(323) 336-1178
Mailing Address
5167 CLAYTON RD STE H CONCORD, CA 94521
Mailing Phone
(925) 489-2984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2024
Last Update Date
04-10-2025
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

BE-VERLYN NAVARRO

Authorized Official Title
NP
Authorized Official Phone
(323) 336-1178

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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 1992575682, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 9 → 18 → 9 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 1 + 0 + 7 + 1 + 0 + 6 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1992575682.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
5167 CLAYTON RD STE H
CONCORD, CA 94521
Nurse Practitioner (Primary Care)
5167 CLAYTON RD STE H
CONCORD, CA 94521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992575682, enumerated as an "organization" on January 04, 2024.

The provider is located at 5167 CLAYTON RD STE H CONCORD, CA 94521 and the phone number is (323) 336-1178.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.