Organization Active NPI

Ravive Health & Vitality LLC

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1962154880
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
RAVIVE HEALTH & VITALITY LLC
Practice address
2907 Shelter Island Dr Ste 219
San Diego, CA 92106-2744
Phone
(619) 642-0477
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Howard S Flamm
Title
Owner/ Clinic Director
Phone
(303) 520-1285

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary
Naturopath 175F00000X NU
Massage Therapist 225700000X NU

Addresses

Primary practice location

2907 Shelter Island Dr Ste 219
San Diego, CA 92106-2744

Mailing address

2907 Shelter Island Dr Ste 219
San Diego, CA 92106-2744
Phone (619) 642-0477

National Provider Directory

National Provider Directory

Locations

2907 Shelter Island Dr
Ste 219
San Diego, CA 92106
Phone (619) 642-0477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1962154880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 SHELTER ISLAND DR STE 219",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062744",
            "telephone_number": "619-642-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 SHELTER ISLAND DR STE 219",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062744",
            "telephone_number": "619-642-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIVE HEALTH & VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "FLAMM",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "303-520-1285"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.