DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VIVIAN VAN

MEDICARE: VIVIAN VAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1245172311
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN VAN
Provider Business Mailing Address
First Line : 3 TALCOTT FOREST RD APT L
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-3565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1092
Country : US
Telephone Number : 510-437-4101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

Similar Medicare Providers

1700688355 — JENNA THANH LE MD
Practice Location Address:
1411 E 31ST ST
OAKLAND, CA
94602-1092
Practice Phone: 510-437-4800
Practice Fax: 510-535-7313
1629133079 — DR. MICHAEL IOCCA D.O.
Practice Location Address:
1411 E 31ST ST
OAKLAND, CA
94602-1092
Practice Phone: 510-437-4893
Practice Fax: 510-379-7440
1598950107 — JIMMY HO LMFT
Practice Location Address:
1411 E 31ST ST
OAKLAND, CA
94602-1092
Practice Phone: 510-437-4800
Practice Fax:
1376781286 — SARAH DAWN BLASCHKO MD
Practice Location Address:
1411 E 31ST ST # 22134
OAKLAND, CA
94602-1092
Practice Phone: 510-437-4401
Practice Fax:
1942527361 — DR. ELIZABETH CAHILL HAMID M.D.
Practice Location Address:
1411 E 31ST ST
OAKLAND, CA
94602-1092
Practice Phone: 510-437-4401
Practice Fax:
1942598396 — AYESHA ZAHIRUDDIN MD
Practice Location Address:
1411 E 31ST ST
OAKLAND, CA
94602-1092
Practice Phone: 510-437-4800
Practice Fax:

Directions to “ VIVIAN VAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.