Active NPI
Vivian Quan
- Dental Hygienist
- Los Angeles, CA
National Provider Identifier
1548075757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 34620
- Practice address
- 767 N Hill St Ste 315
Los Angeles, CA 90012-2376 - Phone
- (213) 808-1792
- NPI assigned
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 34620 | CA | Primary |
Addresses
Primary practice location
767 N Hill St Ste 315
Los Angeles, CA 90012-2376
Mailing address
5464 Allan St
Los Angeles, CA 90032-3137
Phone (626) 759-1988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinatown Service Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Alhambra, CA
- NPI 1134482326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1548075757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5464 ALLAN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900323137",
"telephone_number": "626-759-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 N HILL ST STE 315",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122376",
"telephone_number": "213-808-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "VIVIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "34620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.