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DR. VIVIAN FERNANDEZ
NPI 1124165261
Dentist - General Practice in Elk Grove, CA

Active since January 30, 2007
9340 W STOCKTON BLVD, ELK GROVE, CA 95758(916) 683-5732 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Jul 9, 2019 (2 updates tracked since 2019).

About Dr. Vivian Fernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVIAN FERNANDEZ (NPI 1124165261) is an individual general practice provider in Elk Grove, California, licensed in California (54142) and active in the NPI registry since January 2007. She maintains a secondary practice location in Elk Grove.

NPPES Registry Identity

NPI1124165261
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VIVIAN FERNANDEZ
Location Address9340 W STOCKTON BLVDElk Grove, CA 95758-8014
Mailing Address9320 Elk Grove Blvd Ste 170Elk Grove, CA 95624-5061 · (916) 714-5422 · Fax (916) 714-5429
Phone(916) 683-5732
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1124165261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 54142
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9340 W STOCKTON BLVD, Elk Grove, CA 95758
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Secondary Practice Location 1

Location 19320 Elk Grove Blvd Ste 170Elk Grove, CA 95624-5061 · Phone (916) 714-5422 · Fax (916) 714-5429

Other Identifiers 1

MedicaidD54142CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. SALLY MOHAMMED ALSADI D.D.S
Dentist
9340 W STOCKTON BLVD, SUITE #120
ELK GROVE, CA 95758
Sacramento County (916) 684-8373
DR. JOHN ANTHONY OSHETSKI DDS-MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
9340 W STOCKTON BLVD, 110
ELK GROVE, CA 95758
Sacramento County (916) 684-0520

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 Vivian Fernandez's NPI number?

The NPI number for Vivian Fernandez is 1124165261. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Vivian Fernandez located?

Vivian Fernandez practices at 9340 W Stockton Blvd, Elk Grove, CA 95758. The listed phone number is (916) 683-5732.

What is Vivian Fernandez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Vivian Fernandez accept?

Health plans from Humana list Vivian Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivian Fernandez was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.