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

Dr. Vivian Fernandez

Individual provider General Practice Dentistry · NPI 1124165261

Dr. Vivian Fernandez is a General Practice Dentistry in Elk Grove, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

9340 W Stockton Blvd
Elk Grove, CA 95758-8014
Phone: (916) 683-5732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9320 Elk Grove Blvd Ste 170, Elk Grove, CA 95624-5061 — (916) 714-5422

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 54142 (CA)

Record details

NPI number1124165261
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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