NPIMap

Individual provider Active NPI

Vivian Storrer, MD

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1144240367
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G74692 Issued in CA
Practice address
1941 Johnson Ave
Suite 301
San Luis Obispo, CA 93401-4175
Phone
(805) 739-3474
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Un of California, Irvine, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health Centers 247 clinicians

Practice addresses (Care Compare)

1941 Johnson Ave
Suite 301
San Luis Obispo, CA 93401-4175
Phone (805) 786-4111

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001027 CA Practitioner - Obstetrics/Gynecology 8820072523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G74692CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 30, 2014 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 30, 2014 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Community Care Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

35 Casa St
Ste 220
San Luis Obispo, CA 93405
Phone (805) 595-1808

504 Plaza Dr
Santa Maria, CA 93454

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

100 Casa St
Ste B
Sn Luis Obisp, CA 93405
Phone (805) 242-0614

1941 Johnson Ave
Ste 301
Sn Luis Obisp, CA 93401
Phone (805) 597-6715

350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G74692 CA Primary

Addresses

Primary practice location

1941 Johnson Ave
Suite 301
San Luis Obispo, CA 93401-4175

Mailing address

504 Plaza Dr
Santa Maria, CA 93454-6917
Phone (805) 739-3474

Other identifiers 3

IdentifierTypeStateIssuer
CB220780OtherCAMEDICARE ID
00G746920MedicaidCA
GR0092203MedicaidCA

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1144240367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 PLAZA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546917",
            "telephone_number": "805-739-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE",
            "address_2": "SUITE 301",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014175",
            "telephone_number": "805-739-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORRER",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G74692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB220780",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G746920",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.