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

Individual provider Physician Assistant · NPI 1932215407

Vivian M Marcuzzo, PA is a Physician Assistant in Gilbert, Arizona. Qualified in 2005, 21 years ago. Practices with Kerry S Green MD PLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2730 S Val Vista Dr Ste 187
Gilbert, AZ 85295-1675
Phone: (480) 324-0300
Fax: (480) 324-0324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17936 (CA)

Record details

NPI number1932215407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kerry S Green Md Plc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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