Healthcare Provider Details

I. General information

NPI: 1598580284
Provider Name (Legal Business Name): FRANKIE VIVAS CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5549 CALLOWAY DR STE 28
BAKERSFIELD CA
93312-9722
US

IV. Provider business mailing address

6077 COFFEE RD STE 4
BAKERSFIELD CA
93308-9417
US

V. Phone/Fax

Practice location:
  • Phone: 661-372-8152
  • Fax: 661-384-3338
Mailing address:
  • Phone: 661-372-8152
  • Fax: 661-384-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: