Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Vivienne N Palmer, PA-C

Individual provider Medical Physician Assistant · NPI 1457788663

MS. Vivienne N Palmer, PA-C is a Physician Assistant in LA Jolla, California. Qualified in 2013, 13 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9898 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 455-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 52309 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 52309 (CA)

Record details

NPI number1457788663
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 3, 2021
Certification dateOctober 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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