Individual provider Active NPI

Andrew Carlos Vivas, M.D.

  • Neurological Surgery Physician
  • Valencia, CA
National Provider Identifier
1790046720
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C168987 Issued in CA
Practice address
27235 Tourney Rd Ste 2500
Valencia, CA 91355-5908
Phone
(310) 319-3475
NPI assigned
Jun 6, 2012
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C168987 CA Primary
Orthopaedic Surgery Physician 207X00000X 297319 NY

Addresses

Primary practice location

27235 Tourney Rd Ste 2500
Valencia, CA 91355-5908

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

12901 Bruce B Downs Blvd # 41
Tampa, FL 33612-4742
Phone (813) 259-0901

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618000418 CA Practitioner - Neurosurgery 0749514743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of South Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1131 Wilshire Blvd
Suite 100
Santa Monica, CA 90401-2072
Phone (424) 259-7000

300 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-5111

757 Westwood PLZ
Los Angeles, CA 90095-8358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion141
Laminectomy or laminotomy (partial removal of spine bones)47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C168987CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurological Surgery CurrentSince Aug 1, 2020 Accepting new patients
The Regents of the University of California Neurological Surgery CurrentSince Aug 1, 2020 Accepting new patients
UCLA Medical Group Past Accepting new patients
North Florida Regional Medical Center, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

300 Stein Plz
Los Angeles, CA 90095
Phone (310) 267-0453

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 54206
Los Angeles, CA 90074

1131 Wilshire Blvd
Ste 100
Santa Monica, CA 90401
Phone (310) 458-2381

27235 Tourney Rd
Ste 2500
Valencia, CA 91355
Phone (661) 253-5851

Interoperability endpoints

  • Direct secure messaging: avivas810612@direct.uclahealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1790046720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27235 TOURNEY RD STE 2500",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555908",
            "telephone_number": "310-319-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12901 Bruce B Downs Blvd # 41",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124742",
            "country_code": "US",
            "telephone_number": "813-259-0901",
            "fax_number": "813-259-0944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVAS",
        "first_name": "ANDREW",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C168987",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "297319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.