Individual provider Active NPI

Vivian Lilian Dortch

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1881599694
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
W1571922 Issued in CA
Practice address
340 S Farrell Dr Ste A208
Palm Springs, CA 92262-7931
Phone
(760) 202-4308
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X W1571922 CA Primary

Addresses

Primary practice location

340 S Farrell Dr Ste A208
Palm Springs, CA 92262-7931

Mailing address

500 W San Rafael Dr Apt 9
Palm Springs, CA 92262-1674
Phone (442) 352-0083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1881599694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SAN RAFAEL DR APT 9",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922621674",
            "telephone_number": "442-352-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S FARRELL DR STE A208",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627931",
            "telephone_number": "760-202-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTCH",
        "first_name": "VIVIAN",
        "middle_name": "LILIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "W1571922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.