NPIMap

Organization Active NPI

Vivien Pacold, M.D., Inc.

  • Family Medicine Physician
  • Cathedral City, CA
National Provider Identifier
1205988409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52805 Issued in CA
Legal business name
VIVIEN PACOLD, M.D., INC.
Practice address
68100 Ramon Rd
C-5
Cathedral City, CA 92234-3387
Phone
(760) 321-6068
Fax
(760) 770-6789
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vivien PacoldNPI 1003841917
Title
President
Phone
(760) 321-6068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A52805 CA Primary

Addresses

Primary practice location

68100 Ramon Rd
C-5
Cathedral City, CA 92234-3387

Mailing address

68100 Ramon Rd
C-5
Cathedral City, CA 92234-3387
Phone (760) 321-6068

National Provider Directory

National Provider Directory

Locations

68100 Ramon Rd
Ste C5
Cathedral City, CA 92234
Phone (760) 321-6068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205988409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68100 RAMON RD",
            "address_2": "C-5",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343387",
            "telephone_number": "760-321-6068",
            "fax_number": "760-770-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68100 RAMON RD",
            "address_2": "C-5",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343387",
            "telephone_number": "760-321-6068",
            "fax_number": "760-770-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIEN PACOLD, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACOLD",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-321-6068"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.