IVAN VIVANCO (NPI# 1700423712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700423712 |
| Entity Type | Individual |
| Full Name | IVAN VIVANCO |
| Practice Address |
21000 Plummer St Chatsworth CA 91311-4903 |
| Practice Telephone | 6613485492 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114418878 | Ivan Vivanco | Nurse Practitioner | 9655 Nw 41st St, Doral, FL 33178-2973 | 2018-05-29 |
| Street Address |
21000 PLUMMER ST |
| City | CHATSWORTH |
| State | CA |
| Zip Code | 91311-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891713228 | Earl Paul Petrus | Psychiatry & Neurology | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2006-07-17 |
| 1548860323 | Julio Cesar Ortega | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-10-29 |
| 1972114486 | George Joseph Perez | Social Worker | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-08-10 |
| 1295344133 | Cesar Alberto Espinoza | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-07-27 |
| 1063043701 | Marshay Lynch | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-01-31 |
| 1003456443 | Jeanette Gavia | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-01-14 |
| 1265077614 | Lamar Taylor | Marriage & Family Therapist | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-11-08 |
| 1306487137 | Karli Rae Morgan | Licensed Vocational Nurse | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-10-02 |
| 1114576568 | Megan Mantlo | Licensed Vocational Nurse | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-09-09 |
| 1396397303 | Sharaine Washington | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493218 | Karin Homehealth Care Inc | Home Health | 20149 Devonshire St Suite 210a, Chatsworth, CA 91311 | 2020-10-08 |
| 1629675038 | Bright Universe Hospice Care Inc | Hospice Care, Community Based | 20149 Devonshire St Suite 210b, Chatsworth, CA 91311 | 2020-10-08 |
| 1609491117 | Remedium Hospice Care, Inc | Hospice Care, Community Based | 22024 Lassen St, Suite 103, Chatsworth, CA 91311 | 2020-06-10 |
| 1558905968 | Better Care and Health | Counselor | 22735 Plummer St, Chatsworth, CA 91311 | 2019-10-30 |
| 1750948758 | Child Care Resource Center, Inc. | Case Management | 20001 Prairie Street, Chatsworth, CA 91311 | 2019-05-24 |
| 1770053001 | Steven Sandoval | Counselor | 2100 Plummer St, Chatsworth, CA 91311 | 2018-11-29 |
| 1215407531 | G Salvador Castillo Dental Corp | Dentist | 2446 Nordhoff St, Chatsworth, CA 91311 | 2018-11-29 |
| 1689141814 | Radiance Recovery Inc. | Clinic/Center | 10522 Desoto Ave, Chatsworth, CA 91311 | 2018-10-25 |
| 1003390667 | Christian Anthony Henningsen | Physical Therapist | 9700 De Soto Avenue, Attn: Dr. Christian Henningsen, Pt, Dpt, Chatsworth, CA 91311 | 2018-09-19 |
| 1346745973 | Joji Chacko | Non-emergency Medical Transport (VAN) | 9672 Laramie Ave, Chatsworth, CA 91311 | 2018-03-26 |
| Find all providers in zip 91311 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265715809 | Abier Bilbeisi | Rehabilitation Practitioner | 9201 Oakdale Ave Ste 101, Chatsworth, CA 91311-6546 | 2011-09-20 |
| 1548860323 | Julio Cesar Ortega | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-10-29 |
| 1295344133 | Cesar Alberto Espinoza | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-07-27 |
| 1063043701 | Marshay Lynch | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-01-31 |
| 1003456443 | Jeanette Gavia | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2020-01-14 |
| 1831730829 | Emil Elizarov | Rehabilitation Practitioner | 20151 Nordhoff St, Chatsworth, CA 91311-6215 | 2019-10-01 |
| 1396397303 | Sharaine Washington | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-07-10 |
| 1285191601 | Steven Michael Beard Jr. | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-02-21 |
| 1417413386 | Paul Christian Garcia | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-02-15 |
| 1023573110 | Dominic Bertrand Ceroni | Rehabilitation Practitioner | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2019-02-04 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 91311 |
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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.