La Vida Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LA VIDA CLINIC INC

Practice address

1764 Columbia Ave Ste B
Riverside, CA 92507

Phone

(951) 213-6962

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Neil Katchman, DONPI 1053366047

Title

Ceo

Phone

(951) 213-6962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Neil Katchman, D.O.

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1053366047
  Medicare reassignment Authorized official
• Dante Almendral, M.D

  • Ophthalmology Physician
  • Rowland Heights, CA
  • NPI 1407808637
  Medicare reassignment
• Heratch Gharibian, D.C.

  • Chiropractor
  • Glendale, CA
  • NPI 1649422320
  NPD (past)
• Hamid Malakooti, M.D.

  • Pediatrics Physician
  • Montebello, CA
  • NPI 1538243373
  NPD (past)

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1720824220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 COLUMBIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-213-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 COLUMBIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-213-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "KATCHMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-213-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Sierra Medical Corp
• La Sierra Medical Corporation
• La Sierra Senior Home LLC
• La Sierra University Health Clinic
• La Sierra University Student Health Services
• Shelah La Voyn-Sallis
• Casey Ching La, DMD
• Phu Q La, D.C.
• Phuong Anh Thi La, P.A.-C
• Hisham Ahmad Labanieh, M.D.

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.