VIVIEN TALOSIG SHADD MSN, FNP-BC,CDE
NPI 1083937148
Nurse Practitioner - Family in Los Angeles, CA
About Vivien Talosig Shadd Msn, Fnp-bc,cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIEN TALOSIG SHADD MSN, FNP-BC,CDE (NPI 1083937148) is an individual family provider in Los Angeles, California, licensed in California (19568) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Vivien Talosig Shadd Msn, Fnp-bc,cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Vivien Shadd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90057
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vivien Shadd's NPI number?
The NPI number for Vivien Shadd is 1083937148. It was assigned to this individual provider in the NPPES registry on March 3, 2010.
Where is Vivien Shadd located?
Vivien Shadd practices at 1800 Wilshire Blvd, Los Angeles, CA 90057. The listed phone number is (213) 484-9934.
What is Vivien Shadd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vivien Shadd enrolled in Medicare?
Yes. Vivien Shadd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Vivien Shadd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivien Shadd reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivien Shadd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vivien Shadd was last updated on October 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vivien Talosig Shadd, MSN, FNP-BC,CDE · NPI 1083937148
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 3, 2010.
## Identity
- **NPI:** 1083937148 (Entity type: Individual)
- **Enumerated:** March 3, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19568 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1800 WILSHIRE BLVD, Los Angeles, CA 90057-3602
- **Phone:** (213) 484-9934 · **Fax:** (213) 484-9939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083937148) · Data from the CMS NPPES public registry.