VIVIAN SUN (NPI# 1295891703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295891703 |
| Entity Type | Individual |
| Full Name | VIVIAN SUN |
| Credential | MD |
| Practice Address |
1420 Willow Pass Rd Suite 200 Concord CA 94520-5223 |
| Practice Telephone | 9256465480 |
| Mailing Telephone | 9256465480 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A99510 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A99510 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1420 WILLOW PASS RD SUITE 200 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342902 | Douglas Eugene Hanlin | Psychiatry & Neurology | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2006-09-29 |
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1356998132 | Dave Tingzon | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2019-08-26 |
| 1063985455 | Matthew Kubasta | Student in an Organized Health Care Education/Training Program | 1420 Willow Pass Rd, Concord, CA 94520 | 2019-01-08 |
| 1508388430 | Kirsten Heher | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520 | 2017-07-12 |
| 1114459161 | Joy Witt | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1306378401 | Keith Hall | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1073064358 | John Kayode Ojewole | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-10-20 |
| 1730540782 | Candelario Jack Castillo IIi | Social Worker | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-03-17 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023334588 | O B Towery Md Inc | Psychiatry & Neurology | 1000 Burnett Ave Ste 435, Concord, CA 94520-2088 | 2010-04-08 |
| 1295846079 | Beth Brownlow | Psychiatry & Neurology | 414 Powder Mill Rd, Concord, MA 01742-4808 | 2006-08-31 |
| 1215954722 | Philip Shain | Psychiatry & Neurology | 2630 Salvio St, Concord, CA 94519-2532 | 2006-07-17 |
| 1881641546 | Kathleen Lentz | Psychiatry & Neurology | 70a Junction Square Dr, Concord, MA 01742-3049 | 2006-05-28 |
| 1174974505 | Concord Behavioral Health, LLC | Psychiatry & Neurology | 89 N State St, Concord, NH 03301-4334 | 2016-06-27 |
| 1538401104 | Ashley Helseth | Psychiatry & Neurology | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2013-03-21 |
| 1306035050 | Arman Danielyan | Psychiatry & Neurology | 2740 Grant St, Concord, CA 94520-2265 | 2007-10-18 |
| 1548394547 | Diana Lynn Weiner | Psychiatry & Neurology | 105 Loudon Rd Bldg 3, Concord, NH 03301-5600 | 2007-03-14 |
| 1669545786 | Jon Elnes Whalen | Psychiatry & Neurology | 2425 Bisso Ln, Ste 280, Concord, CA 94520-4897 | 2006-11-16 |
| 1295843175 | Sarah E Walsh | Psychiatry & Neurology | 105 Loudon Rd Bldg 3, Concord, NH 03301-5600 | 2006-08-29 |
| Find all providers in CONCORD | ||||
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| 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.