1. Home
  2. Directory
  3. California
  4. Lakewood
  5. Family Medicine
  6. NPI Profile

MIRNA S RIZKALLA M.D.
NPI 1073967394
Family Medicine in Lakewood, CA

Active since April 22, 2016PECOS EnrolledAccepts Medicare Assignment
3650 SOUTH ST STE 404, LAKEWOOD, CA 90712(562) 232-3910(562) 232-3204 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mirna S Rizkalla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRNA S RIZKALLA M.D. (NPI 1073967394) is an individual family medicine provider in Lakewood, California, licensed in California (A161724) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lawton, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1073967394
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRNA S RIZKALLACredential: M.D.
Location Address3650 SOUTH ST STE 404Lakewood, CA 90712
Mailing Address3650 South St Ste 404Lakewood, CA 90712-1508 · (562) 232-3910 · Fax (562) 232-3204
Phone(562) 232-3910
Fax(562) 232-3204
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 22, 2016
Last NPPES UpdateAugust 20, 2019
✔ NPI 1073967394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A161724✔ Licensed in OK · 207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3650 SOUTH ST STE 404, Lakewood, CA 90712
Open in Google Maps ↗

Secondary Practice Location 1

Location 11202 NW Arlington AveLawton, OK 73507-6537 · Phone (580) 248-2288

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mirna S Rizkalla M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153603592
PECOS Enrollment IDI20190806003916
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirna Rizkalla's NPI number?

The NPI number for Mirna Rizkalla is 1073967394. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Mirna Rizkalla located?

Mirna Rizkalla practices at 3650 South St Ste 404, Lakewood, CA 90712. The listed phone number is (562) 232-3910.

What is Mirna Rizkalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mirna Rizkalla enrolled in Medicare?

Yes. Mirna Rizkalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mirna Rizkalla was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.