Individual provider Active NPI

Vivien An Nguyen, M.D.

  • Pediatric Gastroenterology Physician
  • Walnut Creek, CA
National Provider Identifier
1154586659
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
A101918 Issued in CA
Practice address
106 La Casa Via Ste 100
Walnut Creek, CA 94598-3084
Phone
(650) 497-8000
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A101918 CA
Pediatric Gastroenterology Physician 2080P0206X A101918 CA Primary

Addresses

Primary practice location

106 La Casa Via Ste 100
Walnut Creek, CA 94598-3084

Mailing address

106 La Casa Via Ste 100
Walnut Creek, CA 94598-3084
Phone (650) 497-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151012001873 CA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 7315262532 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101918CAMDGeneral Practice Dentistry
A101918CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics CurrentSince Oct 1, 2015 Accepting new patients
University of California San Francisco CurrentSince Oct 1, 2015 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Oct 1, 2015 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Sep 3, 2017 Accepting new patients
John Muir Health Past Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

747 52nd St
Fl 5
Oakland, CA 94609
Phone (510) 428-3233

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2303 Camino Ramon
Ste 175
San Ramon, CA 94583
Phone (925) 979-3470

2401 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 979-4000

106 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 239-2900

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1154586659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983084",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983084",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIEN",
        "middle_name": "AN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101918",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A101918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.