Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alyssa Pabelle Dipalac Vivas, DO

Individual provider Family Medicine Physician · NPI 1720460819

Dr. Alyssa Pabelle Dipalac Vivas, DO is a Family Practice in Queen Creek, Arizona. Qualified in 2015, 11 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

21212 E Ocotillo Rd
Queen Creek, AZ 85142-9667
Phone: (602) 755-0800
Fax: (480) 571-7973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 007363 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence R2590 (AZ)

Record details

NPI number1720460819
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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