Organization Active NPI

Vivara Wellness

  • Medical Specialty Clinic/Center
  • Rancho Mission Viejo, CA
National Provider Identifier
1265312532
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VIVARA WELLNESS
Practice address
2 Lavanda St
Rancho Mission Viejo, CA 92694-1826
Phone
(805) 636-6387
NPI assigned
Sep 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Dr. Lila Abassi-Shum, MD
Title
Ceo
Phone
(805) 636-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2 Lavanda St
Rancho Mission Viejo, CA 92694-1826

Mailing address

2 Lavanda St
Rancho Mission Viejo, CA 92694-1826
Phone (805) 636-6387

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1265312532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LAVANDA ST",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941826",
            "telephone_number": "805-636-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LAVANDA ST",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941826",
            "telephone_number": "805-636-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVARA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "ABASSI-SHUM",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-636-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.