Vivien Thai, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

565560 Issued in CA

Practice address

3359 Beverly Ave
Clovis, CA 93619-5102

Phone

(559) 536-2112

NPI assigned

Dec 23, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1851988802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 BEVERLY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195102",
            "telephone_number": "559-536-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 BEVERLY AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195102",
            "telephone_number": "559-536-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "VIVIEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "565560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "A8132015",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Iphone",
            "affiliation": "N",
            "endpointDescription": "iPhone 7 plus",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone number, pictures, documents",
            "address_1": "3359 Beverly Ave",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936195102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila Temple
• Jasmine Teng, SLP-CCC
• Howard Bruce Terrell, M.D.
• Amanda Kay Terronez, LMFT
• Vincent Thach
• Bianca Elise Collop Thall, DOULA
• Ger Sunnie Thao, PHARMACIST
• Ka Bao Thao, PHARMD
• Mao Thao
• Sylvie Eelee C Thao, LVN

• Registered Nurse in Clovis, CA
• Providers in Clovis, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.