Organization Active NPI

Vivital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
National Provider Identifier
1245006535
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VIVITAL, INC.
Practice address
1450 N Tustin Ave Ste 150
Santa Ana, CA 92705-8653
Phone
(657) 235-8255
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Kareim K Iqnaibi
Title
Ceo
Phone
(657) 235-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1450 N Tustin Ave Ste 150
Santa Ana, CA 92705-8653

Mailing address

1450 N Tustin Ave Ste 150
Santa Ana, CA 92705-8653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214002161 CA DME Supplier - Medical Supply Company 7214371590 Practice locations: Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vivital Inc.1450 N Tustin Ave, Santa Ana, CA 92705-8653(657) 235-8255 Ultraviolet Light Devices and/or Supplies|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 4, 2024

National Provider Directory

National Provider Directory

Locations

1450 N Tustin Ave
Ste 150
Santa Ana, CA 92705
Phone (657) 235-8255

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1245006535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N TUSTIN AVE STE 150",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N TUSTIN AVE STE 150",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058653",
            "telephone_number": "657-235-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "IQNAIBI",
        "authorized_official_first_name": "KAREIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-235-8255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.