Active NPI
Ri-Vive Wellness LLC
- Primary Care Clinic/Center
- Fairfield, CA
National Provider Identifier
1265168587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | holistic@rivivewellness.com |
National Provider Directory
National Provider DirectoryLocations
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.