Individual provider Active NPI

Vivian Sakura Turner, PA

  • Physician Assistant
  • Anaheim, CA
National Provider Identifier
1164670592
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15898 Issued in CA
Practice address
8007 E Goldenrod LN
Anaheim, CA 92808-1937
Phone
(714) 585-3985
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15898 CA Primary

Addresses

Primary practice location

8007 E Goldenrod LN
Anaheim, CA 92808-1937

Mailing address

3254 Professional Dr
Auburn, CA 95602-2412
Phone (530) 888-1016

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000690 CA Practitioner - Physician Assistant 6406906437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Allergy and Asthma Associates IncGroup PAC ID 9830147057, 6 clinicians

Practice addresses (Care Compare)

3254 Professional Dr
Auburn, CA 95602-2412
Phone (530) 888-1016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15898CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Allergy and Asthma Associates Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

3254 Professional Dr
Auburn, CA 95602
Phone (530) 888-1016

300 Sierra College Dr
Grass Valley, CA 95945
Phone (530) 273-6530

Organizations & group practices 1

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1164670592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022412",
            "telephone_number": "530-888-1016",
            "fax_number": "530-888-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 E GOLDENROD LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081937",
            "telephone_number": "714-585-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "VIVIAN",
        "middle_name": "SAKURA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.