Organization Active NPI

My Viva Inc.

  • Multi-Specialty Clinic/Center
  • Naperville, IL
National Provider Identifier
1114868791
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MY VIVA INC.
Practice address
2863 95TH St Ste 123
Naperville, IL 60564-9006
Phone
(780) 919-3436
NPI assigned
Apr 6, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Loreen Wales
Title
Ceo
Phone
(775) 564-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2863 95TH St Ste 123
Naperville, IL 60564-9006

Mailing address

940 Little Star Dr
Reno, NV 89511-7310
Phone (775) 564-2524

Other practice location 1

940 Little Star Dr
Reno, NV 89511-7310
Phone (775) 564-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260612002796 IL Part B Supplier - Clinic/Group Practice 0042782807 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

2863 95th St
Ste 123
Naperville, IL 60564
Phone (780) 919-3436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1114868791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 LITTLE STAR DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117310",
            "telephone_number": "775-564-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 95TH ST STE 123",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649006",
            "telephone_number": "780-919-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Little Star Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895117310",
            "country_code": "US",
            "telephone_number": "775-564-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY VIVA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "WALES",
        "authorized_official_first_name": "LOREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-564-2524"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.