OrganizationActive
Vivint Medical Clinic
NPI 1265942163 · Family Medicine Physician · Provo, UT
Vivint Medical Clinic is a Family Medicine Physician organization in Provo, UT (NPI 1265942163).
Provider details
- NPI number
- 1265942163
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Futura Medical Clinic
- Organization subpart
- Yes
- Authorized official
- Darce Latsis, Operations Manager(801) 705-8040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4907 North 300 West
Provo, UT 84604-8460
Phone: (801) 705-8040
Fax: (801) 765-5740
Street-level locationGet directions
Mailing address
560 S 300 E Ste 275
Salt Lake City, UT 84111-3586
Other names (DBA / former)
- Doing business as
- Vivint Medical Clinic
Registry dates
- Enumerated
- 2017-10-05
- Last updated
- 2020-01-30
- Certified
- 2020-01-30
Frequently asked questions
- What is Vivint Medical Clinic's NPI number?
- Vivint Medical Clinic's National Provider Identifier (NPI) is 1265942163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vivint Medical Clinic?
- Vivint Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vivint Medical Clinic located?
- Vivint Medical Clinic's practice location on file with NPPES is 4907 North 300 West, Provo, UT 84604-8460.
- What is Vivint Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Vivint Medical Clinic is (801) 705-8040.
- Who is the authorized official for Vivint Medical Clinic?
- The authorized official listed on Vivint Medical Clinic's NPPES record is Darce Latsis, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vivint Medical Clinic's NPI active?
- Yes — Vivint Medical Clinic's NPI (1265942163) is active in the NPPES registry as of the last update on 2020-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.