Individual provider Active NPI

Nilvia Edith Viamonte Perez, RDCS

  • Diagnostic Ultrasound Physician
  • Phoenix, AZ
National Provider Identifier
1699406983
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
261834 Issued in NY
Practice address
3720 W Mauna Loa LN
Phoenix, AZ 85053-4655
Phone
(315) 640-5905
NPI assigned
Jun 18, 2022
Last updated
Jun 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 261834 NY
Diagnostic Ultrasound Physician 2085U0001X 261834 NY Primary
Sonography Radiologic Technologist 2471S1302X 261834 NY
Vascular Sonography Radiologic Technologist 2471V0105X 261834 NY

Addresses

Primary practice location

3720 W Mauna Loa LN
Phoenix, AZ 85053-4655

Mailing address

3720 W Mauna Loa LN
Phoenix, AZ 85053-4655
Phone (315) 640-5905

Other practice location 1

6114 N 59th Ave Ste 6
Glendale, AZ 85301-7770
Phone (623) 937-8643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
261834NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Galan's Mobile Ultrasound LLC PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1699406983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 W MAUNA LOA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534655",
            "telephone_number": "315-640-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W MAUNA LOA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534655",
            "telephone_number": "315-640-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6114 N 59th Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853017770",
            "country_code": "US",
            "telephone_number": "623-937-8643",
            "fax_number": "623-934-1249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIAMONTE PEREZ",
        "first_name": "NILVIA",
        "middle_name": "EDITH",
        "credential": "RDCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NY",
            "license": "261834",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "261834",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NY",
            "license": "261834",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NY",
            "license": "261834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.