Vividerm Wound Care
NPI 1407654189 · In Home Supportive Care Agency · Corona, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vividerm Wound Care is a In Home Supportive Care Agency organization in Corona, CA (NPI 1407654189).
Provider details
- NPI number
- 1407654189
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sophia Ho, Medical Director(714) 417-4452
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-03-06
- Last updated
- 2025-04-20
- Certified
- 2025-04-20
Frequently asked questions
- What is Vividerm Wound Care's NPI number?
- Vividerm Wound Care's National Provider Identifier (NPI) is 1407654189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vividerm Wound Care?
- Vividerm Wound Care is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Vividerm Wound Care located?
- Vividerm Wound Care's practice location on file with NPPES is 4081 Pomelo Dr, Corona, CA 92883-3697.
- What is Vividerm Wound Care's phone number?
- The practice phone number listed in the NPPES registry for Vividerm Wound Care is (714) 417-4452.
- Does Vividerm Wound Care accept Medicare?
- Vividerm Wound Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vividerm Wound Care?
- The authorized official listed on Vividerm Wound Care's NPPES record is Sophia Ho, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vividerm Wound Care's NPI active?
- Yes — Vividerm Wound Care's NPI (1407654189) is active in the NPPES registry as of the last update on 2025-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.