Individual provider Active NPI

Vivian Laquer, M.D.

  • Dermatology Physician
  • Irvine, CA
National Provider Identifier
1164656229
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A113693 Issued in CA
Practice address
118 Med Surg I
Irvine, CA 92697-2400
Phone
(949) 824-4405
Fax
(949) 824-7454
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A113693 CA Primary

Addresses

Primary practice location

118 Med Surg I
Irvine, CA 92697-2400

Mailing address

118 Med Surg I
Irvine, CA 92697-2400
Phone (949) 824-4405

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
I20110512000089 CA Practitioner - General Practice 6800072612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uci Department of DermatologyGroup PAC ID 7113920992, 38 clinicians
Tien Q Nguyen IncGroup PAC ID 0547319402, 12 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

17305 Von Karman Ave
Suite 107
Irvine, CA 92614-0903
Phone (949) 679-9997

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions572
Removal or shaving of skin growth1-10
Skin biopsy58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113693CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine CurrentSince Jun 19, 2017 Accepting new patients
Uci Department of Dermatology Dermatology CurrentSince Jun 19, 2017 Accepting new patients
University of California Irvine CurrentSince Jun 19, 2017 Accepting new patients
University of California Irvine Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

850 Health Sciences Rd
Fl 2
Irvine, CA 92617
Phone (602) 614-8874

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1164656229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MED SURG I",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926972400",
            "telephone_number": "949-824-4405",
            "fax_number": "949-824-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MED SURG I",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926972400",
            "telephone_number": "949-824-4405",
            "fax_number": "949-824-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUER",
        "first_name": "VIVIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A113693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.