Organization Active NPI

Viteva Medical Corporation

  • Registered Nurse
  • Clovis, CA
National Provider Identifier
1720997992
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
VITEVA MEDICAL CORPORATION
Practice address
625 E Herndon Ave, Suite 200
Clovis, CA 93611
Phone
(954) 512-3338
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Samia Ghaffar, MD
Title
Medical Director
Phone
(559) 246-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

625 E Herndon Ave, Suite 200
Clovis, CA 93611

Mailing address

1776 N Renn Ave
Clovis, CA 93619-8148
Phone (954) 512-3338

Other names 1

  • Viteva Aesthetics and Wellness Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1720997992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N RENN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198148",
            "telephone_number": "954-512-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E HERNDON AVE, SUITE 200",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611",
            "telephone_number": "954-512-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITEVA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "GHAFFAR",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-246-5040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viteva Aesthetics and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.