Viveca Elisabeth Gazzoni, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PAT 8041 Issued in CA

Practice address

1277 W Central Ave
Brea, CA 92821-2407

Phone

(562) 501-9010

Fax

(562) 697-0421

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2007By 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

Other names 1

• Viveca Elisabeth Sotola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: viveca.gazzoni.p1@direct.caremorewest.nextgenshare.com

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.

• Caremore Medical Group Inc

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1760435705
  NPD (past)
• Encore Wellness Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Whittier, CA
  • NPI 1164540902
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427254374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S BREA BLVD",
            "address_2": "#802",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215368",
            "telephone_number": "714-257-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 W CENTRAL AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212407",
            "telephone_number": "562-501-9010",
            "fax_number": "562-697-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZZONI",
        "first_name": "VIVECA",
        "middle_name": "ELISABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PAT 8041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "PAT 8041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVECA",
            "last_name": "SOTOLA",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Garfield Beach CVS LLC (CVS Pharmacy #17530)
• Garfield Beach CVS LLC (CVS Pharmacy # 11111)
• Garrick Shum (Fishers Brea Pharmacy)
• Terri Gaston-Pierce, D.C.
• Xiomara Gaytan
• Genstar Labs LLC
• Craig Allen Georgianna, PSY.D LMFT
• Kimberly Marie Gerads, LCSW, LICSW
• Stacey B Gerhart, LPCC
• Ghabbour Dental Practice, PC

• Physical Therapy Assistant in Brea, CA
• Providers in Brea, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.