# KIVA SPIRIT FOUNDATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992131577
- **Authorized official:** DR. MATT GOMES PHD, LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (925) 485-9370

## Contact information

- **Practice address:** 2222 2ND ST, SUITE 12, LIVERMORE, CA 94550-4554
- **Practice address phone:** (925) 485-9370
- **Mailing address:** PO BOX 1424, PLEASANTON, CA 94566-0142
- **Mailing address phone:** (925) 485-9370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | CA | Yes |

## Other

- **Enumeration date:** 09/16/2013
- **Last updated:** 09/16/2013