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NPI Code Detail

MEDICARE: DR. PATRICIA VIELBIG DDS

MEDICARE: DR. PATRICIA VIELBIG DDS
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
11223G0001XGeneral Practice DentistryB47007CA
2363LF0000XFamily Nurse Practitioner386843CA

General Provider Information

NPI Number : 1164445946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA VIELBIG DDS
Provider Business Mailing Address
First Line : 2011 FOREST AVE
Second Line : SUITE 3
City : SAN JOSE
State : CA
Zip : 95128-4832
Country : US
Telephone Number : 408-289-1967
Fax Number : 408-289-9726
Provider Business Practice Location Address
First Line : 2011 FOREST AVE
Second Line : SUITE 3
City : SAN JOSE
State : CA
Zip : 95128-4832
Country : US
Telephone Number : 408-289-1967
Fax Number : 408-289-9726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 01/29/2026

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Directions to “ DR. PATRICIA VIELBIG DDS” Practice Location

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