Kyle Vivo, PA-C
NPI 1407982689 · Medical Physician Assistant · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Vivo, PA-C is a Medical Physician Assistant provider in Los Angeles, CA (NPI 1407982689).
Provider details
- NPI number
- 1407982689
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 18774 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kyle Vivo's NPI number?
- Kyle Vivo's National Provider Identifier (NPI) is 1407982689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Vivo's specialty?
- Kyle Vivo is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kyle Vivo located?
- Kyle Vivo's practice location on file with NPPES is 311 Winston St, Los Angeles, CA 90013-1519.
- What is Kyle Vivo's phone number?
- The practice phone number listed in the NPPES registry for Kyle Vivo is (213) 893-1960.
- Does Kyle Vivo accept Medicare?
- Kyle Vivo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Vivo's NPI active?
- Yes — Kyle Vivo's NPI (1407982689) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.