Andrew Viveros
Case Manager/Care Coordinator in Palmdale, CA. Individual provider (NPI-1).
NPI number1548049869
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1548049869
- Entity type
- Individual (NPI-1)
- Name
- Andrew Viveros
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2023
- Certification date
- Sep 26, 2023
- Last updated
- Sep 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
250 Grand Cypress Ave Ste 601Palmdale, CA 93551-3675
Phone 661-789-1200
Mailing address
250 Grand Cypress Ave Ste 601Palmdale, CA 93551-3675
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 134 Case Manager/Care Coordinator providers in Palmdale · All 2,795 providers in Palmdale
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