Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Angelica Vivero, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1457794802

Dr. Angelica Vivero, MD is a Pathology in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone: (888) 631-2452
Fax: (323) 361-8988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8700 Beverly Blvd Rm 8725, West Hollywood, CA 90048-1804 — (310) 423-5431

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A142453 (CA)

Record details

NPI number1457794802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2013
Last updated in NPPESJune 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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