MS. JENNIFER L VIVANCO RPT
NPI 1982767596
Specialist in Porter Ranch, CA

Q: What is Jennifer Vivanco's NPI number?

The NPI number for Jennifer Vivanco is 1982767596. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Jennifer Vivanco's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Vivanco was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 18, 2006

11239 TAMPA AVE STE 205, PORTER RANCH, CA 91326(818) 831-0484(818) 832-9389 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jennifer L Vivanco Rpt NPPES

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

MS. JENNIFER L VIVANCO RPT (NPI 1982767596) is an individual specialist in Porter Ranch, California, licensed in California (PT20306) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1982767596

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. JENNIFER L VIVANCOCredential: RPT

Location Address11239 TAMPA AVE STE 205Porter Ranch, CA 91326-3782

Mailing Address11239 Tampa Ave Ste 205Porter Ranch, CA 91326-3782 · (818) 831-0484 · Fax (818) 832-9389

Phone(818) 831-0484

Fax(818) 832-9389

Sole ProprietorYes

Enumeration DateDecember 18, 2006

Last NPPES UpdateFebruary 24, 2020

✔ NPI 1982767596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · PT20306

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11239 TAMPA AVE STE 205, Porter Ranch, CA 91326

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Other Identifiers 1

MedicaidPT0203060CA

Other Providers at the Same Location NPPES

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

PRIORITY PHYSICAL THERAPY INC

Specialist

11239 TAMPA AVE STE 205
PORTER RANCH, CA 91326

Los Angeles County (818) 831-0484

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 Jennifer Vivanco's NPI number?

The NPI number for Jennifer Vivanco is 1982767596. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Jennifer Vivanco located?

Jennifer Vivanco practices at 11239 Tampa Ave Ste 205, Porter Ranch, CA 91326. The listed phone number is (818) 831-0484.

What is Jennifer Vivanco's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Vivanco was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.