Enoc Vivian

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95041377 Issued in CA

Practice address

4207 Slauson Ave
Maywood, CA 90270-2835

Phone

(562) 634-2111

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1689579195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CLELA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702835",
            "telephone_number": "562-634-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "ENOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose R. Torres, D.D.S.
• Trimica LLC (Vista Adult Day Health Care Center)
• United Medical Imaging Healthcare, Inc. (United Medical Imaging of Maywood)
• United Medical Radiology Network (United Medical Radiology Network of Maywood)
• Viridiana Elizabeth Vazquez, ASW
• Western Dental Services, Inc.
• Heather Deanna Winther, DDS
• Damita Dora Wiredja, DDA
• Heru Wiredja, DDS
• Henry C Wong

• Family Nurse Practitioner in Maywood, CA
• Providers in Maywood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.