MEDICARE: VIVIANA A QUINTANA

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
1	1041S0200X	School Social Worker
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1346039708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIANA A QUINTANA

Provider Business Mailing Address
First Line	:	7617 ALMA VISTA WAY STE C
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-4000
Country	:	US
Telephone Number	:	916-556-3344
Fax Number	:

Provider Business Practice Location Address
First Line	:	7617 ALMA VISTA WAY STE C
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-4000
Country	:	US
Telephone Number	:	916-556-3344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	05/22/2025

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Directions to “ VIVIANA A QUINTANA ” Practice Location

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