Michael R.P. Vivian, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G78890 Issued in CA

Legal business name

MICHAEL R.P. VIVIAN, MD

Practice address

260 Maple CT Ste 205
Ventura, CA 93003-9134

Phone

(805) 650-3888

Fax

(805) 650-3804

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Michael RP Vivian, MD

Title

Physician

Phone

(805) 650-3888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1104091966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039134",
            "telephone_number": "805-650-3888",
            "fax_number": "805-650-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039134",
            "telephone_number": "805-650-3888",
            "fax_number": "805-650-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R.P. VIVIAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "VIVIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-650-3888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G78890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.