Active NPI
Viveca Taylor
- Registered Dietitian
- Pacifica, CA
National Provider Identifier
1760028278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86143925
- Practice address
- 176 Hilton Way
Pacifica, CA 94044-2739 - Phone
- (949) 439-4255
- NPI assigned
- Nov 19, 2019
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86143925 | CA | Primary |
Addresses
Primary practice location
176 Hilton Way
Pacifica, CA 94044-2739
Mailing address
176 Hilton Way
Pacifica, CA 94044-2739
Phone (949) 439-4255
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 |
|---|---|---|---|
| 86143925 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enara Health, Inc | Past | Accepting new patients | |
| Enara Health Group, P.C. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obesity Medicine (Internal Medicine) Physician
- San Mateo, CA
- NPI 1063817823
Dietitian, Registered
-
- Health Service Clinic/Center
- San Mateo, CA
- NPI 1144871682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1760028278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 HILTON WAY",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940442739",
"telephone_number": "949-439-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 HILTON WAY",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940442739",
"telephone_number": "949-439-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "VIVECA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86143925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacifica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.