DR. VIVIAN FERNANDE LOPEZ


Address: 2821 Telegraph Ave, Berkeley, CA 94705-1118
Phone: 5108484430

DR. VIVIAN FERNANDE LOPEZ (NPI# 1104957075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104957075
Entity Type Individual
Full Name DR. VIVIAN FERNANDE LOPEZ
Credential D.D.S.
Practice Address 2821 Telegraph Ave
Berkeley
CA 94705-1118
Practice Telephone 5108484430
Practice Fax Number 5108453834
Mailing Telephone 5108484430
Mailing Fax Number 5108453834
Enumeration Date 2007-03-09
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
29355 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA B29355 05

Other Providers VIVIAN LOPEZ

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1114449733 Vivian Castaneda Lopez Nurse Practitioner 500 E Avenue J, Robstown, TX 78380-2307 2017-07-14
1821617788 Vivian Lopez Technician 421 E Morris Ave, Modesto, CA 95354-0437 2020-04-10
1013415793 Vivian Lopez Technician 4550 W Oakey Blvd, Las Vegas, NV 89102-1581 2018-01-26
1225477920 Vivian Lopez Community Health Worker 1128 W Santa Ana Blvd, Santa Ana, CA 92703-3833 2013-06-17
1144408238 Vivian Lopez Registered Nurse 4802 10th Ave, Brooklyn, NY 11219-2916 2008-01-31

Office Location

Street Address 2821 TELEGRAPH AVE
City BERKELEY
State CA
Zip Code 94705-1118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649296922 Penelope Yip Dentist 2821 Telegraph Ave, Berkeley, CA 94705-1118 2006-07-13
1568675783 Penelope S.yip D.d.s., Inc. Dentist 2821 Telegraph Ave, Berkeley, CA 94705-1118 2007-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882956 Diane Lomas Wyatt Marriage & Family Therapist 2340 Ward St. Ste 104, Berkeley, CA 94705 2020-02-12
1700371275 Icecreamwala Dermatology Inc Dermatology 2435 Webster St Ste 101, Berkeley, CA 94705 2018-06-27
1396253803 David R Shaddock Marriage & Family Therapist 3030 Ashby Avenue, # 105, Berkeley, CA 94705 2018-01-18
1821504432 Allegra Tringali Physical Therapist 2450 Ashby Ave Fl 6, Berkeley, CA 94705 2017-12-19
1659898740 Hunter Brown Student in an Organized Health Care Education/Training Program Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 2017-08-29
1588014534 Heather Valdez Social Worker 2185 Ashby Ave, Berkeley, CA 94705 2016-06-20
1215350145 S.e.e.d.s. (social and Emotional Education Development and Support) Community/Behavioral Health 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 2014-01-29
1144580960 Benjamin Tucker Counselor 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 2012-05-26
1881966141 Jennifer Cowherd Behavioral Analyst 2201 Woolsey St, Berkeley, CA 94705 2012-02-02
1518255892 Erika D Huguenard Counselor 2811a College Avenue, Berkeley, CA 94705 2011-07-20
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912259201 Nakako Uritani Dentist 2640 Telegraph Ave Ste 101, Berkeley, CA 94704-3322 2012-10-10
1558666966 Robert Anthony Khalil Dentist 3010 Colby St Ste 217, Berkeley, CA 94705-2059 2011-01-14
1831492404 Carole Miyahara Dentist 3010 Colby Street, Suite 217, Berkeley, CA 94705-2059 2010-12-21
1770887358 Joseph K Wampler Dentist 3010 Colby St, Suite 217, Berkeley, CA 94705-2091 2010-12-22
1053614198 Ameneh Khosrovani Dentist 3010 Colby St, Suite 217, Berkeley, CA 94705-2091 2010-12-13
1962705178 Neil M Katsura Dentist 3010 Colby St, 217, Berkeley, CA 94705-2091 2010-12-09
1700189008 Arnold Nakazato Dentist 3010 Colby St, #217, Berkeley, CA 94705-2091 2010-12-08
1043340227 Wampler Katsura Dds., Inc Dentist 3010 Colby St, Suite 217, Berkeley, CA 94705-2059 2007-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385227 Johnson Ann Wong Dental Corporation Dentist 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 2020-10-26
1205440211 Jessica Choi, Dmd, Dental Corporation Dentist 2318 Huntington Dr, San Marino, CA 91108-2641 2020-09-08
1659985802 Rw Fattouch Dmd, Inc. Dentist 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 2020-09-04
1174136998 Armand Begian Dds Inc. Dentist 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 2020-08-31
1164035473 Armand Begian Dds Inc. Dentist 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 2020-08-26
1518577972 Michael Vincent Laureola Dds Inc Dentist 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 2020-07-31
1396360384 Drs Salem and Soliman Dental Corp Dentist 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 2020-06-15
1689299471 Abhishek Batra Dentist 11052 Evans St, Loma Linda, CA 92354-2709 2020-06-08
1194348060 Bryan Chao Dentist 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 2020-05-26
1255953618 Mohammad Abul-fielat Dds Inc Dentist 3825 Tyler St, Riverside, CA 92503 2020-05-08
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Competitor

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City BERKELEY
Zip Code 94705

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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