Dr. Vivian Fernandez is a Elk Grove, California based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Vivian Fernandez is 54142 for General Practice Dentistry in California. Her current practice location is 9340 W Stockton Blvd, Elk Grove. Patients can reach her at 916-683-5732.
Dr. Vivian Fernandez is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Vivian Fernandez speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Vivian Fernandez
Specialization:
Dentist
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
9340 W Stockton Blvd, Elk Grove, California, 95758-8014
Phone:
916-683-5732
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124165261
NPI Enumeration Date:
30 Jan, 2007
NPI Last Update On:
20 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Vivian Fernandez are as mentioned below.
License Number
Specialization
State
Status
54142
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Vivian Fernandez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D54142
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9320 Elk Grove Blvd Ste 170, Elk Grove, California
Zip:
95624-5061
Phone Number:
916-714-5422
Fax Number:
916-714-5429
Patients can reach Dr. Vivian Fernandez at 9340 W Stockton Blvd, Elk Grove, California or can call to book an appointment on 916-683-5732. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.