Vivien R. Igra
MD | Pediatric Adolescent Medicine | Female
Vivien R. Igra, MD is a Walnut Creek, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Vivien R. Igra is
1425 S Main St, Walnut Creek, California - 94596-5318. She can be contacted on phone at
925-295-4000.
Vivien R. Igra is a sole proprietor of her business.
NPI number (Unique professional ID) for Vivien R. Igra is
1801974969 which was assigned by NPPES on 02 Nov, 2006 and it was last updated on 02 Dec, 2021.
Vivien R. Igra license number is
G63247 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Vivien R. Igra specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Vivien R. Igra basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Vivien R. Igra |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Vivien R. Igra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1425 S Main St
Walnut Creek, CA, 94596-5318
United States |
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| Phone Number : | 925-295-4000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801974969 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Nov, 2006 |
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| Last Updated On : | 02 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivien R. Igra are as mentioned. Primary taxonomy code for Vivien R. Igra, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G63247 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Vivien R. Igra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G632470 | MEDICAID | CA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 1425 S MAIN ST,
WALNUT CREEK, CA, 94596-5318
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1800 Harrison St Fl 7
Oakland, CA, 94612-3466
United States |
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| Phone Number : | 510-625-6262 |
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Business Location:
Patients can refer following map for directions to
Vivien R. Igra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.