Viviana Hewitt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

46391 Issued in CA

Practice address

1104 Redondo Beach Blvd
Gardena, CA 90247

Phone

(310) 366-7666

Fax

(310) 366-7587

NPI assigned

Apr 23, 2007

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A Sabbagh-Fard DDS & P. Mastour DDS Inc

  • Dentist
  • Culver City, CA
  • NPI 1568710333
  NPD
• Amir Saz, DDS, a Dental Corporation

  • Dentist
  • Gardena, CA
  • NPI 1992861645
  NPD (past)
• Fard & Mastour Dental Group

  • Dentist
  • Encino, CA
  • NPI 1740694249
  NPD (past)
• Mastour & Fard Dental Corp

  • Preferred Provider Organization
  • Newberry Park, CA
  • NPI 1548730450
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659599520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "310-366-7666",
            "fax_number": "310-366-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "310-366-7666",
            "fax_number": "310-366-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "VIVIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Herrera
• Sarai Herrera
• Stefanie Herrera
• Yesenia M Herrera
• Tashanna Tyshae Hester
• Erin Hibbard
• Imani Hibbert
• Brandy Hicks
• Stephan Hicks
• Nicholas Higgins

• Dentist in Gardena, CA
• Providers in Gardena, CA by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.