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VIVIAN ROSE PAULEY MD
NPI 1417417460
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 24, 2019PECOS Enrolled
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823(916) 688-2417 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Mar 24, 2019 (2 updates tracked since 2019).

About Vivian Rose Pauley Md NPPES

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

VIVIAN ROSE PAULEY MD (NPI 1417417460) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1417417460
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVIVIAN ROSE PAULEYCredential: MD
Location Address6600 BRUCEVILLE RDSacramento, CA 95823-4671
Mailing Address6600 Bruceville RdSacramento, CA 95823-4671 · (916) 688-2417
Phone(916) 688-2417
Sole ProprietorNo
Enumeration DateMarch 24, 2019
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1417417460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6600 BRUCEVILLE RD, Sacramento, CA 95823
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Secondary Practice Location 1

Location 1111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-2345

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Rose Pauley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vivian Pauley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
32 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

SHANNON KENTERA CRNA
Nurse Anesthetist, Certified Registered
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-7254
MRS. KELLY STROHM R.D.
Dietitian, Registered
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2532
THOMAS A. GIUSTINA MD
Dermatology
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2000
ELMER E. GURMAI MD
Psychiatry & Neurology (Psychiatry)
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2000
RICHARD S. ISAACS MD
Otolaryngology
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2000
NGAI MING YEE MD
Internal Medicine (Critical Care Medicine)
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2000
FRANCES EILEEN BRIARE FNP
Nurse Practitioner (Family)
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823
Sacramento County (916) 688-2000
MS. PATRICIA LYNNE KANG GNP
Nurse Practitioner (Gerontology)
6600 BRUCEVILLE RD, ELDERCARE ADULT MEDICINE F
SACRAMENTO, CA 95823
Sacramento County (916) 688-6862

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 Vivian Pauley's NPI number?

The NPI number for Vivian Pauley is 1417417460. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Vivian Pauley located?

Vivian Pauley practices at 6600 Bruceville Rd, Sacramento, CA 95823. The listed phone number is (916) 688-2417.

What is Vivian Pauley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vivian Pauley enrolled in Medicare?

Yes. Vivian Pauley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vivian Pauley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Pauley reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivian Pauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vivian Pauley was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.