Pamela L Vincent, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

G145852 Issued in CA

Practice address

451 W Lincoln Ave
Anaheim, CA 92805-2927

Phone

(714) 527-6561

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bright Heart Health Medical Group a Medical CorporationGroup PAC ID 2264775790, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: pamela.vincent.p1@direct.kcs.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Heart Health Medical Group a Medical Corporation

  • Specialist
  • Walnut Creek, CA
  • NPI 1427569037
  Medicare reassignment Care Compare group NPD
• KCS, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buena Park, CA
  • NPI 1861525602
  Medicare reassignment NPD
• KCS, Inc.

  • Federally Qualified Health Center (FQHC)
  • Anaheim, CA
  • NPI 1992951180
  NPD
• Blue Rock Neurological LLC

  • Neurology Physician
  • Provo, UT
  • NPI 1730554734
  NPD (past)
• Pamela L. Vincent, MD Corp

  • Neurology Physician
  • Provo, UT
  • NPI 1831394881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1376544874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 N UNIVERSITY AVE # 224",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044405",
            "telephone_number": "801-885-2303",
            "fax_number": "801-437-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052927",
            "telephone_number": "714-527-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Camino Diablo Ste 105",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945973945",
            "country_code": "US",
            "telephone_number": "800-892-2695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3152 N University Ave",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846044729",
            "country_code": "US",
            "telephone_number": "801-229-1014",
            "fax_number": "801-229-1067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "UT",
            "license": "188338-1205",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "WI",
            "license": "29118-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "29118-20",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G145852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Villegas
• Vanessa Aleyda Villegas, PA-C
• Ferdinand Villena, PHARMD
• Rodolfo A. Villicana, MD
• Krystal Vincent
• Kenny B Vinh, P.A.
• Georgina Vinuya, RPH
• Viora Family Services LLC
• Jillian Viray
• Andrea Maria Virrueta

• Addiction Medicine (Psychiatry & Neurology) Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.