Vivian B Giudice, MD

Primary specialty

Single Specialty GroupTaxonomy code 193400000X

License

85-0367991 Issued in NM

Practice address

801 Encino PL NE
Ste A6
Albuquerque, NM 87102-2641

Phone

(505) 224-7400

Fax

(505) 224-7404

NPI assigned

Oct 3, 2006

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Optumcare New Mexico LLC

  dba DaVita Medical Group

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1174617542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE",
            "address_2": "STE A6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022641",
            "telephone_number": "505-923-5356",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE",
            "address_2": "STE A6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022641",
            "telephone_number": "505-224-7400",
            "fax_number": "505-224-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUDICE",
        "first_name": "VIVIAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "NM",
            "license": "85-0367991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26526",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarun Girotra, MD
• David Giroux, LPAC
• Jeffrey I Gittelman, RN
• Katrina Eva Gittins, BCBA
• Richard O Giudice, MD
• Becky K Gius
• John M Givens
• William Shane Givens
• Giving Tree Counseling, LLC
• Janice Gjertson, LPCC

• Single Specialty Group in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Single Specialty Group in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.