DR. MICHAELA RAE VIGILANTE M.D.
NPI 1649537994
Pediatrics in San Diego, CA
About Dr. Michaela Rae Vigilante M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAELA RAE VIGILANTE M.D. (NPI 1649537994) is an individual pediatrics provider in San Diego, California, licensed in California (A137949) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michaela Rae Vigilante M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michaela Vigilante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Michaela Vigilante's NPI number?
The NPI number for Michaela Vigilante is 1649537994. It was assigned to this individual provider in the NPPES registry on April 11, 2012. The provider is also known as Michaela Rae Vickers.
Where is Michaela Vigilante located?
Michaela Vigilante practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Michaela Vigilante's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Michaela Vigilante enrolled in Medicare?
Yes. Michaela Vigilante is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michaela Vigilante's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Vigilante reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Michaela Vigilante'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 Michaela Vigilante was last updated on December 23, 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.
# Dr. Michaela Rae Vigilante, M.D. · NPI 1649537994
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 11, 2012.
## Identity
- **NPI:** 1649537994 (Entity type: Individual)
- **Enumerated:** April 11, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A137949 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1649537994) · Data from the CMS NPPES public registry.