Active NPI
Kevin Gilbert Vieira, ATC
- Student in an Organized Health Care Education/Training Program
- Merced, CA
National Provider Identifier
1164960860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5200 N Lake Rd
Merced, CA 95343-5001 - Phone
- (209) 228-2468
- Fax
- (209) 228-2620
- NPI assigned
- Feb 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5200 N Lake Rd
Merced, CA 95343-5001
Mailing address
5200 N Lake Rd
Merced, CA 95343-5001
Phone (209) 228-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1164960860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 N LAKE RD",
"city": "MERCED",
"state": "CA",
"postal_code": "953435001",
"telephone_number": "209-228-2468",
"fax_number": "209-228-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 N LAKE RD",
"city": "MERCED",
"state": "CA",
"postal_code": "953435001",
"telephone_number": "209-228-2468",
"fax_number": "209-228-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEIRA",
"first_name": "KEVIN",
"middle_name": "GILBERT",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.