VIVIEN T THACH (NPI# 1427416841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427416841 |
| Entity Type | Individual |
| Full Name | VIVIEN T THACH |
| Credential | AGNP-C |
| Practice Address |
12665 Garden Grove Blvd 502a Garden Grove CA 92843-1901 |
| Mailing Address |
9402 Russell Ave Garden Grove CA 92844-2327 |
| Practice Telephone | 7145342222 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2017-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95003756 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12665 GARDEN GROVE BLVD 502A |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688572 | Douglas George Clark | Internal Medicine | 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 | 2005-06-09 |
| 1467980854 | Jonathan S Warnelo | Internal Medicine | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1904 | 2017-05-30 |
| 1538518444 | Peter H. Dang, Dds, Inc. | Dentist | 12665 Garden Grove Blvd, #208, Garden Grove, CA 92843-1901 | 2016-06-10 |
| 1538529185 | Negin Behazin Md, A Med Corp | General Practice | 12665 Garden Grove Blvd, Suite 710, Garden Grove, CA 92843-1901 | 2016-02-24 |
| 1922467299 | Shieun Hong | Nurse Practitioner | 12665 Garden Grove Blvd, #503, Garden Grove, CA 92843-1901 | 2016-02-16 |
| 1588033773 | Dr. Grace Guimei Yao, A Professional Corporation | Specialist | 12665 Garden Grove Blvd, Suite 600, Garden Grove, CA 92843 | 2015-09-18 |
| 1952781932 | Ali Fouladi, M.d., Inc. | Surgery | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1901 | 2015-06-04 |
| 1346637352 | Crystal Tong | Optometrist | 12665 Garden Grove Blvd, Ste 301, Garden Grove, CA 92843-1901 | 2015-04-17 |
| 1114319621 | Select Multi Specialty Medical Care | Clinical Medical Laboratory | 12665 Garden Grove Blvd, 203, Garden Grove, CA 92843-1901 | 2015-02-21 |
| 1306237755 | Syed Rizvi | Spec/Tech, Pathology | 12665 Garden Grove Blvd, 204, Garden Grove, CA 92843-1901 | 2015-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511718 | Nhu Pham | Nurse Practitioner | 11972 Rexford Rd, Garden Grove, CA 92840-3608 | 2020-08-31 |
| 1912444688 | Jennie Le Ruiz | Nurse Practitioner | 12001 Nieta Dr, Garden Grove, CA 92840-3523 | 2017-01-19 |
| 1851692529 | Mai Tran | Nurse Practitioner | 14281 Brookhurst St Ste C, Garden Grove, CA 92843-4648 | 2010-11-10 |
| 1295244325 | Daniel Le | Nurse Practitioner | 9191 Westminster Ave Ste 209, Garden Grove, CA 92844 | 2017-09-20 |
| 1851811301 | Phuong Hoang Nguyen | Nurse Practitioner | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2017-06-26 |
| 1982943684 | Michelle Reyes | Nurse Practitioner | 13830 Brookhurst St, Garden Grove, CA 92843-3121 | 2013-01-31 |
| 1124275987 | Tu Thuy Tonnu | Nurse Practitioner | 14221 Euclid St Ste H, Garden Grove, CA 92843-4991 | 2008-08-25 |
| 1619178399 | Mai Tran | Nurse Practitioner | 7761 Garden Grove Blvd, Garden Grove, CA 92841-4200 | 2007-05-30 |
| 1447379854 | Stephanie Ann Hargrove | Nurse Practitioner | 9802 Woodbury Ave, Garden Grove, CA 92844-2819 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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| 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.