VIVIEN TALOSIG SHADD


Address: 1800 Wilshire Blvd, Los Angeles, CA 90057-3602
Phone: 2134849934

VIVIEN TALOSIG SHADD (NPI# 1083937148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083937148
Entity Type Individual
Full Name VIVIEN TALOSIG SHADD
Credential MSN, FNP-BC,CDE
Practice Address 1800 Wilshire Blvd
Los Angeles
CA 90057-3602
Mailing Address 22311 Runnymede St
Canoga Park
CA 91303-1023
Practice Telephone 2134849934
Practice Fax Number 2134849939
Mailing Telephone 8184567582
Mailing Fax Number 8187131873
Enumeration Date 2010-03-03
Last Update Date 2010-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WD0400X Registered Nurse
Specialization: Diabetes Educator
559188 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
19568 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1800 WILSHIRE BLVD
City LOS ANGELES
State CA
Zip Code 90057-3602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053367896 Isaias De Guzman Paja Jr. Md,inc Clinic/Center 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2006-05-25
1275185050 Ma Raquel Ramos Garcia Registered Nurse 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2019-07-12
1508318064 Janet Blandino Nurse Practitioner 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2016-11-01
1336699370 Isaias De Guzman Paja Md Inc Nurse Practitioner 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2016-10-13
1821337668 Joseph Robert Umbrino Nurse Practitioner 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2013-02-13
1881973444 Camino Nuevo Family Health Clinic Clinic/Center 1800 Wilshire Blvd, Suite A, Los Angeles, CA 90057-3602 2011-08-12
1518277508 Daisy Golez Franco Nurse Practitioner 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2010-10-08
1629386230 Eddie Yee Descallar Nurse Practitioner 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2010-09-16
1396752689 Concepcion Jimenez Nurse Practitioner 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2006-08-01
1518997709 Isaias Paja Jr. Family Medicine 1800 Wilshire Blvd, Los Angeles, CA 90057-3602 2006-07-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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