Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vividlife Ketamine Clinic

Organization Health Service Clinic/Center · NPI 1992575682

Vividlife Ketamine Clinic is a Health Service Clinic/Center in Concord, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5167 Clayton Rd Ste H
Concord, CA 94521-3170
Phone: (323) 336-1178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1992575682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Be-Verlyn Navarro — Np · (323) 336-1178
NPI enumeratedJanuary 4, 2024
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address5167 Clayton Rd Ste H, Concord, CA 94521-3170

Other providers in Concord