Provider Demographics
NPI:1568352037
Name:HUGHSTON, VIVIEN SANDRA HERNANDEZ (RN)
Entity type:Individual
Prefix:
First Name:VIVIEN SANDRA
Middle Name:HERNANDEZ
Last Name:HUGHSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-4637
Mailing Address - Country:US
Mailing Address - Phone:650-452-3231
Mailing Address - Fax:
Practice Address - Street 1:341 WESTLAKE CTR STE 317
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1442
Practice Address - Country:US
Practice Address - Phone:650-991-3404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95424675163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty