Vivanti Wound Specialists LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

VIVANTI WOUND SPECIALISTS LLC

Practice address

1619 W Garvey Ave N Ste 205
West Covina, CA 91790-2147

Phone

(909) 206-7567

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Kent Gerald Molina Bagni

Title

Ceo

Phone

(909) 206-7657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1740174812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 W GARVEY AVE N STE 205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902147",
            "telephone_number": "909-206-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W GARVEY AVE N STE 205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902147",
            "telephone_number": "909-206-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVANTI WOUND SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "BAGNI",
        "authorized_official_first_name": "KENT GERALD",
        "authorized_official_middle_name": "MOLINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-206-7657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision One Optometry of West Covina, Inc.
• Vitalhomehealth Inc
• Enrique Vitug, NP
• Vituity-Surgery PC
• Vivanti Home Health Inc.
• Vivara Home Health Agency, Inc.
• Sagar Dilipkumar Viz, SPEECH LANGUAGE PATH
• Hermosa Vizcarra
• Karina Vizcarra
• Ashley Sarah Vo

• Wound Care Registered Nurse in West Covina, CA
• Providers in West Covina, CA by specialty
• Wound Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.