Vivian Tran DDS Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VIVIAN TRAN DDS DENTAL CORPORATION

Practice address

11340 W Olympic Blvd Ste 240
Los Angeles, CA 90064-1612

Phone

(310) 575-8828

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Tran, DDSNPI 1750847265

Title

Ceo

Phone

(213) 674-0456

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Vivian Alison Tran, DDS

  • General Practice Dentistry
  • North Hills, CA
  • NPI 1750847265
  NPD Authorized official
• Yasuhiro Matsumura

  • Dentist
  • Los Angeles, CA
  • NPI 1891191912
  NPD (past)

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1508681404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 BUTLER AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255481",
            "telephone_number": "213-674-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641612",
            "telephone_number": "310-575-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN TRAN DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-674-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Vivero, M.D.
• Edward Vivero
• Renee Nicole Viveros, M.A. APPLIED PSYCHOL
• Violeta Viveros
• Vivian C. Banaria, DMD, Inc.
• Xavier Vivian-Jones
• Kyle Vivo, PA-C
• Cindy Vizcaino, LVN
• Clarissa Paloma Vizcaino
• Karen Vizcaino

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.