VIVIAN PHAN SHIBAYAMA (NPI# 1689954695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689954695 |
| Entity Type | Individual |
| Full Name | VIVIAN PHAN SHIBAYAMA |
| Credential | O.D. |
| Practice Address |
100 Stein Plz Los Angeles CA 90095-7065 |
| Mailing Address |
6290 Primrose Ave Temple City CA 91780-1614 |
| Practice Telephone | 3108255000 |
| Mailing Telephone | 6262744211 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2015-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
14290 | CA | Eye and Vision Services Providers |
| Street Address |
100 STEIN PLZ |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-7065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093778094 | Sherwin Isenberg | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7000 | 2006-04-10 |
| 1053938175 | Kelsey Andrea Roelofs | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2020-07-06 |
| 1851924427 | Malka Molly Hayman | Nurse Practitioner | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2020-02-21 |
| 1609335686 | Gilad Rabina | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2019-03-18 |
| 1194215665 | Simon Sheung Man Fung | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-7065 | 2018-05-10 |
| 1992237903 | Michael James Dasilva | Student in an Organized Health Care Education/Training Program | 100 Stein Plz, Los Angeles, CA 90095-1554 | 2017-03-29 |
| 1700239530 | Greg Budoff | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-1808 | 2016-07-17 |
| 1699120212 | Alexander Dillon | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-0001 | 2016-05-02 |
| 1801240916 | Judy Lynn Chen | Student in an Organized Health Care Education/Training Program | 100 Stein Plz, Los Angeles, CA 90095-7232 | 2016-04-15 |
| 1922462043 | Daniel Leon Kornberg | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-3816 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588787345 | Donald S Gould | Optometrist | 6300 Wilshire Blvd #140, Los Angeles, CA 90048 | 2007-04-09 |
| 1780718700 | Joel Hirsch | Optometrist | 5856 Wilshire Blvd, Los Angeles, CA 90036-4522 | 2007-03-14 |
| 1265569040 | Andy Huang | Optometrist | 4620 Whittier Blvd, Los Angeles, CA 90022-3008 | 2007-02-27 |
| 1477693414 | June M. Chiang | Optometrist | 1149 S Hill St Ste 365, Los Angeles, CA 90015-2212 | 2007-02-07 |
| 1598810467 | Stanley Roopenian | Optometrist | 11744 W Pico Blvd, Los Angeles, CA 90064-1309 | 2007-01-23 |
| 1407969165 | Karen Kar-ling Yeung | Optometrist | 221 Westwood Plz Rm 212, Los Angeles, CA 90095-1703 | 2006-08-16 |
| 1407895022 | Richard Paul Hoffman | Optometrist | 350 S Grand Ave, Suite B2b, Los Angeles, CA 90071-3406 | 2006-06-06 |
| 1518938307 | Gregory Yuji Kame | Optometrist | 250 East 1st St, Suite 802, Los Angeles, CA 90012-3875 | 2006-01-30 |
| 1770554727 | Anna Sun Kame | Optometrist | 334 E 2nd St # B, Los Angeles, CA 90012-4203 | 2006-01-29 |
| 1275503476 | Alisa Renai Barnes | Optometrist | 623 W 6th St, Los Angeles, CA 90017-3201 | 2006-01-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.