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

Dr. Violeta B. Vicencio, MD

Individual provider Internal Medicine Physician · NPI 1679699193

Dr. Violeta B. Vicencio, MD is an Internal Medicine in Long Beach, California. Qualified in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
53
Licensed in
CA
In the registry since
2007
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

1075 E Pacific Coast Hwy Ste D
Long Beach, CA 90806-5090
Phone: (562) 676-4596
Fax: (562) 676-4598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A39857 (CA)

Record details

NPI number1679699193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESMarch 30, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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