MS. VIVIENNE N PALMER PA-C
NPI 1457788663
Physician Assistant - Surgical in La Jolla, CA

Active since October 02, 2013PECOS EnrolledAccepts Medicare Assignment
9898 GENESEE AVE, LA JOLLA, CA 92037(858) 455-6330 Get Directions Write a Review

NPPES record last updated: October 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2021, May 22, 2019, Nov 22, 2016 (3 updates tracked since 2016).

About Ms. Vivienne N Palmer Pa-c NPPES

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

MS. VIVIENNE N PALMER PA-C (NPI 1457788663) is an individual surgical provider in La Jolla, California, licensed in California (52309) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457788663
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. VIVIENNE N PALMERCredential: PA-C
Location Address9898 GENESEE AVELa Jolla, CA 92037-1205
Mailing Address10790 Rancho Bernardo Rd, Mail Drop 4s-205San Diego, CA 92127-5705 · (858) 824-5363 · Fax (858) 964-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2013
Last NPPES UpdateOctober 3, 20213 updates tracked since enumeration
NPPES CertifiedOctober 3, 2021
NPI 1457788663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 52309
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 52309 (CA)
9898 GENESEE AVE, La Jolla, CA 92037

Other Names 1

Former Name (1)Nicole Banegas

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Vivienne N Palmer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880820752
PECOS Enrollment IDI20161219000485
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.

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.

Dermatology
9898 GENESEE AVE
LA JOLLA, CA 92037
Physician Assistant
9898 GENESEE AVE
LA JOLLA, CA 92037
Physician Assistant (Surgical)
9898 GENESEE AVE
LA JOLLA, CA 92037
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9898 GENESEE AVE
LA JOLLA, CA 92037
Internal Medicine (Cardiovascular Disease)
9898 GENESEE AVE
LA JOLLA, CA 92037
Physician Assistant
9898 GENESEE AVE
LA JOLLA, CA 92037
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9898 GENESEE AVE
LA JOLLA, CA 92037
Internal Medicine (Interventional Cardiology)
9898 GENESEE AVE
LA JOLLA, CA 92037

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 Vivienne Palmer's NPI number?

The NPI number for Vivienne Palmer is 1457788663. It was assigned to this individual provider in the NPPES registry on October 2, 2013. The provider is also known as Nicole Banegas.

Where is Vivienne Palmer located?

Vivienne Palmer practices at 9898 Genesee Ave, La Jolla, CA 92037. The listed phone number is (858) 455-6330.

What is Vivienne Palmer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Vivienne Palmer enrolled in Medicare?

Yes. Vivienne Palmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vivienne Palmer accept?

Health plans from AvMed list Vivienne Palmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivienne Palmer was last updated on October 3, 2021. 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.