MARCO ANTONIO LOPEZ VIZCARRA (NPI# 1467663963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467663963 |
| Entity Type | Individual |
| Full Name | MARCO ANTONIO LOPEZ VIZCARRA |
| Credential | M.D. |
| Practice Address |
315 Mercy Ave Ste 400 Merced CA 95340 |
| Mailing Address |
3400 Data Drive Rancho Cordova CA 95670 |
| Practice Telephone | 2095643700 |
| Practice Fax Number | 2095643799 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2015-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
C134501 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
45748 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
315 MERCY AVE STE 400 |
| City | MERCED |
| State | CA |
| Zip Code | 95340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508865 | Alfred B Johnson | Surgery | 315 Mercy Ave, Merced, CA 95340-8363 | 2005-12-14 |
| 1013411404 | Massud R Weiss | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Merced, CA 95340-8363 | 2018-03-20 |
| 1114421534 | Thu Phuoc Anh Truong | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Merced, CA 95340-8363 | 2018-03-20 |
| 1952834947 | Alex Tanaka Chin | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2017-04-06 |
| 1114459997 | Radhika Bali | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Ste. 301, Merced, CA 95340-8363 | 2017-03-30 |
| 1982055760 | Jaspreet Singh Nanra | Family Medicine | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-06-23 |
| 1912357567 | Yang Cao | Student in an Organized Health Care Education/Training Program | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-06-14 |
| 1821459785 | Masooma Mujeeb | Family Medicine | 315 Mercy Ave, Suite 301, Merced, CA 95340-8363 | 2016-03-18 |
| 1316314693 | Vida Vreca-ponnequin | Nurse Practitioner | 315 Mercy Ave, Suite 400, Merced, CA 95340 | 2015-08-21 |
| 1477943199 | Eileen Kim | Family Medicine | 315 Mercy Ave, Suite 400, Merced, CA 95340-8363 | 2015-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548333743 | B St J Medical Corporation | Psychiatry & Neurology | 750 W Olive Ave, Ste 105, Merced, CA 95348 | 2006-11-16 |
| 1033389903 | Diana Jean Hylton | Psychiatry & Neurology | 750 W Olive Ave, Suite 105, Merced, CA 95348 | 2008-03-07 |
| 1639284904 | Kin-chung Chan | Psychiatry & Neurology | 315 Mercy Ave, Suite 400, Merced, CA 95340-8368 | 2006-08-20 |
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| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.