Active NPI
Vivian Van Vo, DDS
- Dentist
- Madera, CA
National Provider Identifier
1477536332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51152
- Practice address
- 816 W Yosemite Ave
Suite 101
Madera, CA 93637-4587 - Phone
- (559) 674-5477
- Fax
- (559) 674-3189
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 51152 | CA | Primary |
Addresses
Primary practice location
816 W Yosemite Ave
Suite 101
Madera, CA 93637-4587
Mailing address
816 W Yosemite Ave
Ste 101
Madera, CA 93637-4587
Phone (559) 674-5477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51152 | Other | CA | DENTIST LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160708000302 | CA | Order and Referring Only - Dentist | 9032401211 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51152 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477536332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 W YOSEMITE AVE",
"address_2": "STE 101",
"city": "MADERA",
"state": "CA",
"postal_code": "936374587",
"telephone_number": "559-674-5477",
"fax_number": "559-674-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 W YOSEMITE AVE",
"address_2": "SUITE 101",
"city": "MADERA",
"state": "CA",
"postal_code": "936374587",
"telephone_number": "559-674-5477",
"fax_number": "559-674-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "VIVIAN",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST LICENSE",
"identifier": "51152",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.