Individual provider Active NPI

Vivian Perlman, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1811045263
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2853 Issued in AZ
Practice address
8415 N Pima Rd Ste 150
Scottsdale, AZ 85258-4483
Phone
(480) 977-6844
Fax
(480) 977-6845
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2853 AZ Primary

Addresses

Primary practice location

8415 N Pima Rd Ste 150
Scottsdale, AZ 85258-4483

Mailing address

8415 N Pima Rd Ste 150
Scottsdale, AZ 85258-4483
Phone (480) 977-6844

Other practice location 1

500 W Thomas Rd
Suite 300
Phoenix, AZ 85013-4224
Phone (602) 406-6262

Other identifiers 1

IdentifierTypeStateIssuer
878035MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000177 AZ Practitioner - Physician Assistant 2961549654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Consultants of Arizona, LLCGroup PAC ID 4880927003, 3 clinicians

Practice addresses (Care Compare)

8415 N Pima Rd
Suite 150
Scottsdale, AZ 85258-4483
Phone (480) 977-6844

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2853AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Scottsdale Internal Medicine Consultants Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Muhib Alattar, MD, SC Past Accepting new patients

Locations

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: vperlman@ncazweb.direct.allegiancemd.com
  • Direct secure messaging: vperlman@ncaz.direct.allegiancemd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1811045263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584483",
            "telephone_number": "480-977-6844",
            "fax_number": "480-977-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584483",
            "telephone_number": "480-977-6844",
            "fax_number": "480-977-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Thomas Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134224",
            "country_code": "US",
            "telephone_number": "602-406-6262",
            "fax_number": "602-406-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "878035",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.