Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700423712 Individual Practitioner Male Practitioner

Ivan Vivanco

Rehabilitation Practitioner • Chatsworth, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Ivan Vivanco is a registered healthcare professional specializing in Rehabilitation Practitioner in Chatsworth, CA. Official NPI practice address is registered at 21000 PLUMMER ST.

Practice Location & Contact Primary Location

Practice Address

21000 Plummer St

Chatsworth, CA 913114903

Telephone 6613485492
Associated Practice Facility / Clinic
🏢 Earl Petrus Md Inc Facility NPI 1770778490

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Chatsworth, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
28 Specialists

Practicing in Chatsworth, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-09
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeanette Gavia

Rehabilitation Practitioner

NPI 1003456443
Aubree Sweeney

Marriage & Family Therapist

NPI 1013020007
Estefania Landeros , MSW

Social Worker - Clinical

NPI 1013586007

Master of Social Work

Dominic Ceroni , MS

Student in an Organized Health Care Education/Training Program

NPI 1023573110

Master of Science

Berny Blanco

Rehabilitation Practitioner

NPI 1023587011
Ivan Gonzalez

Student in an Organized Health Care Education/Training Program

NPI 1073496501

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2019

Registered at 21000 PLUMMER ST, CHATSWORTH, CA 913114903 (Tel: 6613485492)

📍
Updated Business Mailing Address December 09, 2019

Registered at 21000 PLUMMER ST, CHATSWORTH, CA 913114903

👤
Provider Name / Credentials Updated December 09, 2019

Recorded as IVAN VIVANCO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Rehabilitation Practitioner

🟢
Initial NPI Registration & Enumeration December 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700423712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2019
Last Update: December 09, 2019
Sole Proprietor: No

Mailing Address

21000 Plummer St

Chatsworth, CA 913114903

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.