Active NPI
Vivian Tang, D.D.S.
- Dentist
- El Cerrito, CA
National Provider Identifier
1750441044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55017
- Practice address
- 10810 San Pablo Ave
Suite 30
El Cerrito, CA 94530-2399 - Phone
- (510) 528-0280
- NPI assigned
- Dec 9, 2006
- Last updated
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 55017 | CA | Primary |
Addresses
Primary practice location
10810 San Pablo Ave
Suite 30
El Cerrito, CA 94530-2399
Mailing address
1166 Pine Street Apt. 5
San Francisco, CA 94109
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55017 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1750441044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 PINE STREET APT. 5",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 SAN PABLO AVE",
"address_2": "SUITE 30",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302399",
"telephone_number": "510-528-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "VIVIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.