Vivien Pacold, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A52805 Issued in CA

Practice address

68100 Ramon Rd
C-5
Cathedral City, CA 92234-3387

Phone

(760) 321-6068

Fax

(760) 770-6789

NPI assigned

Jul 11, 2006

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Pediatric Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIBACA/Endpoint/CIBACA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vivien Pacold, M.D., Inc.

  • Family Medicine Physician
  • Cathedral City, CA
  • NPI 1205988409
  NPD (past) Authorized official
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1003841917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68100 RAMON RD",
            "address_2": "C-5",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343387",
            "telephone_number": "760-321-6068",
            "fax_number": "760-770-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68100 RAMON RD",
            "address_2": "C-5",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343387",
            "telephone_number": "760-321-6068",
            "fax_number": "760-770-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACOLD",
        "first_name": "VIVIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A52805",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A52805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A5280501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• On the Move Rehab
• Karen Edith Ortiz
• Nemesis Ortiz
• Grisha Roland Ovanesian, DDS
• P Putrasahan DDS Inc
• Arlene Padilla
• Palm Springs Rehab LLC
• Palm Springs Villa, Inc.
• Palm Valley Behavioral Health I, LLC
• Palm Valley Behavioral Health II, LLC

• Pediatrics Physician in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.