Ivital Wellness Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

IVITAL WELLNESS INC

Doing business as

LIVE OAK WELLNESS CENTER

Practice address

15668 Live Oak Springs Canyon Rd
Santa Clarita, CA 91387-4711

Phone

(818) 800-3233

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Khatchatur Sarafian, PHARM.D.

Title

Ceo

Phone

(818) 800-3233

Specialties & licenses 2

Addresses

Other names 1

• LIVE OAK WELLNESS CENTER Doing business as

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1699531327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E STOCKER ST APT 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15668 LIVE OAK SPRINGS CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913874711",
            "telephone_number": "818-800-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVITAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "SARAFIAN",
        "authorized_official_first_name": "KHATCHATUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-800-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE OAK WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Insalaco
• Inspired Family Chiropractic a Clark Corporation
• Babak Bobby Irani, DDS
• Erisa Isak
• Victoria Isiev, NP
• Jerry Kiyoshige Izu, M.D.
• Rishelle Jabury-Deajon
• Darshai Jackson
• Linda James, MD
• Nicole James, SLP

• Substance Abuse Rehabilitation Facility in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.