Healthcare Provider Details

I. General information

NPI: 1255266532
Provider Name (Legal Business Name): MRS. VIVIAN SASCHET CALDERON-GUZMAN TOBBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS VIVIAN SASCHET CALDERON GUZMAN

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86-260 FARRINGTON HWY
WAIANAE HI
96792-3128
US

IV. Provider business mailing address

2424 S BERETANIA ST APT A306
HONOLULU HI
96826-1535
US

V. Phone/Fax

Practice location:
  • Phone: 808-697-3225
  • Fax: 808-697-3226
Mailing address:
  • Phone: 808-501-4982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: