Vivian Fernandez in Elk Grove - General Practice
Vivian Fernandez - NPI 1124165261
Vivian Fernandez is a General Practice in Elk Grove, California. Vivian Fernandez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vivian Fernandez is 1124165261. The last update date is 2023-06-20.
Vivian Fernandez's current location address is 9320 Elk Grove Blvd Ste 170, Elk Grove, California. You can contact this provider via phone number 9167145422 and fax number 9167145429. The mailing address for Vivian Fernandez is 9320 Elk Grove Blvd Ste 170, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian Fernandez |
|---|---|
| Address | 9320 Elk Grove Blvd Ste 170, Elk Grove, California |
| Phone Number | 9167145422 |
| Fax Number | 9167145429 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124165261 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2023-06-20 |
Provider Mailing Address Detail
| Address | 9320 Elk Grove Blvd Ste 170 |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 956245061 |
| Phone Number | 9167145422 |
| Fax Number | 9167145429 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 54142 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D54142 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Vivian Fernandez by the Centers for Medicare & Medicaid Services?
The Vivian Fernandez has been issued the NPI (National Provider Identifier) 1124165261 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Vivian Fernandez is geographically located?
The Vivian Fernandez is physically situated at the following location: 9320 Elk Grove Blvd Ste 170, Elk Grove, CA, 956245061.
What is Vivian Fernandez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vivian Fernandez's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Vivian Fernandez receive its 1124165261 assignment from the Centers for Medicare & Medicaid Services?
The Vivian Fernandez was assigned its 1124165261 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the Vivian Fernandez's information last updated?
The Vivian Fernandez's information was last updated on 2023-06-20.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN