Active NPI
Viteva Medical Corporation
- Registered Nurse
- Clovis, CA
National Provider Identifier
1720997992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
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.