Physician Compare National (NPI:1982662045)

HEALTHCARE PROVIDER: VIVIAN TING MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982662045
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072515261
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070131000436
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TING
	Individual professional last name
Provider First Name	VIVIAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1776 YGNACIO VALLEY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	WALNUT CREEK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945983125
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050180
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y