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

Vivian DO

Individual provider Physician Assistant · NPI 1033064373

Vivian DO is a Physician Assistant in Orange, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026

Practice location Address checks out

1140 W La Veta Ave Ste 640
Orange, CA 92868-4228
Phone: (714) 564-3300
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 68010 (CA)

Record details

NPI number1033064373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address1140 W La Veta Ave Ste 640, Orange, CA 92868-4228

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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