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NPI · 1184430696 · NPPES-sourced

Innerbloom Ketamine Therapy

ActiveIntegrative Medicine Physician
NPI Number
1184430696
Type 2 · Organisation
Taxonomy Code
202D00000X
Contact
(805) 321-8471
Primary practice line
Last Updated
Enumerated
Primary practice addressCA · 93405-5827
100 Casa St Ste D3San Luis Obispo, CA 93405-5827
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About this NPIWhat this record shows.

NPI 1184430696 is registered to Innerbloom Ketamine Therapy, a healthcare organisation classified as "Integrative Medicine Physician" and located at 100 Casa St Ste D3 in San Luis Obispo, California. The organisation's authorised official is Ray Rivas. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Innerbloom Ketamine Therapy accepts. To confirm in-network status with your specific health plan, contact Innerbloom Ketamine Therapy directly at (805) 321-8471.

Frequently asked

Yes. NPI 1184430696 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Integrative Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (805) 321-8471.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Innerbloom Ketamine Therapy is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy202D00000X
Last updated
Enumerated
StatusActive
Partneri
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