NPIMap

Organization Active NPI

Viviene Valdez Dental Corporation

  • Pediatric Dentistry
  • San Leandro, CA
National Provider Identifier
1538021803
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
VIVIENE VALDEZ DENTAL CORPORATION
Practice address
13780 Doolittle Dr
San Leandro, CA 94577-5532
Phone
(510) 398-0684
NPI assigned
Nov 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Ayren Engelhardt
Title
Dir of Proc Dev
Phone
(916) 702-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

13780 Doolittle Dr
San Leandro, CA 94577-5532

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462

National Provider Directory

National Provider Directory
Tax ID family
Viviene Valdez Dental Corporation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13780 Doolittle Dr
San Leandro, CA 94577
Phone (510) 398-0684

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1538021803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13780 DOOLITTLE DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775532",
            "telephone_number": "510-398-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIENE VALDEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "ENGELHARDT",
        "authorized_official_first_name": "AYREN",
        "authorized_official_title_or_position": "DIR OF PROC DEV",
        "authorized_official_telephone_number": "916-702-1213"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.