VIVIEN TALOSIG SHADD MSN, FNP-BC,CDE
NPI 1083937148
Nurse Practitioner - Family in Los Angeles, CA

Active since March 03, 2010PECOS EnrolledAccepts Medicare Assignment
1800 WILSHIRE BLVD, LOS ANGELES, CA 90057(213) 484-9934(213) 484-9939 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1083937148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIVIEN TALOSIG SHADDCredential: MSN, FNP-BC,CDE
Location Address1800 WILSHIRE BLVDLos Angeles, CA 90057-3602
Mailing Address22311 Runnymede StCanoga Park, CA 91303-1023 · (818) 456-7582 · Fax (818) 713-1873
Fax(213) 484-9939
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 3, 2010
Last NPPES UpdateOctober 24, 2021
NPPES CertifiedOctober 24, 2021
NPI 1083937148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 19568
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 559188 (CA)
1800 WILSHIRE BLVD, Los Angeles, CA 90057

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2264696186
PECOS Enrollment IDI20120605000617
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Nurse Practitioner (Family)
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Nurse Practitioner (Family)
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Family Medicine
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Nurse Practitioner
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Nurse Practitioner (Family)
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Nurse Practitioner (Family)
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057
Registered Nurse (Obstetric, Inpatient)
1800 WILSHIRE BLVD
LOS ANGELES, CA 90057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083937148, enumerated as an "individual" on March 03, 2010.

The provider is located at 1800 WILSHIRE BLVD LOS ANGELES, CA 90057 and the phone number is (213) 484-9934.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.