Organization Active NPI

Ri-Vive Wellness LLC

  • Primary Care Clinic/Center
  • Fairfield, CA
National Provider Identifier
1265168587
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RI-VIVE WELLNESS LLC
Practice address
1652 W Texas St Ste 115
Fairfield, CA 94533-5952
Phone
(707) 470-2888
Fax
(866) 626-0793
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Irmarita Lewis, NP
Title
Family Nurse Pracitioner
Phone
(707) 470-2888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1652 W Texas St Ste 115
Fairfield, CA 94533-5952

Mailing address

1250 Oliver Rd # 1116
Fairfield, CA 94534-3467
Phone (707) 386-9644

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holistic@rivivewellness.com

National Provider Directory

National Provider Directory

Locations

1250 Oliver Rd
Fairfield, CA 94534
Phone (510) 938-3607

1652 W Texas St
Ste 115
Fairfield, CA 94533
Phone (707) 470-2888

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1265168587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OLIVER RD # 1116",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343467",
            "telephone_number": "707-386-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 W TEXAS ST STE 115",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335952",
            "telephone_number": "707-470-2888",
            "fax_number": "866-626-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RI-VIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "IRMARITA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACITIONER",
        "authorized_official_telephone_number": "707-470-2888",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holistic@rivivewellness.com",
            "affiliation": "N",
            "address_1": "1250 Oliver Rd # 1116",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945343467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.