MONICA MAE VIDAURRAZAGA MD
NPI 1346628310
Internal Medicine in San Diego, CA

Active since May 11, 2015PECOS Enrolled
4094 4TH AVE, SAN DIEGO, CA 92103(619) 515-2545(619) 501-9645 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Monica Mae Vidaurrazaga Md NPPES

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

MONICA MAE VIDAURRAZAGA MD (NPI 1346628310) is an individual internal medicine provider in San Diego, California, licensed in California (A169207) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1346628310
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONICA MAE VIDAURRAZAGACredential: MD
Location Address4094 4TH AVESan Diego, CA 92103-2143
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Fax(619) 501-9645
Sole ProprietorNo
Enumeration DateMay 11, 2015
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1346628310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A169207
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4094 4TH AVE, San Diego, CA 92103

Secondary Practice Location 1

Location 1150 55th StBrooklyn, NY 11220-2508 · Phone (718) 630-6373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Monica Mae Vidaurrazaga Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4094 4TH AVE
SAN DIEGO, CA 92103
Internal Medicine
4094 4TH AVE
SAN DIEGO, CA 92103
Family Medicine
4094 4TH AVE
SAN DIEGO, CA 92103
Radiology (Diagnostic Radiology)
4094 4TH AVE, SUITE 200, MC 0834
SAN DIEGO, CA 92103
Social Worker (Clinical)
4094 4TH AVE
SAN DIEGO, CA 92103
Social Worker (Clinical)
4094 4TH AVE
SAN DIEGO, CA 92103
Physical Therapist
4094 4TH AVE
SAN DIEGO, CA 92103
Family Medicine (Sports Medicine)
4094 4TH AVE
SAN DIEGO, CA 92103

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 Monica Vidaurrazaga's NPI number?

The NPI number for Monica Vidaurrazaga is 1346628310. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Monica Vidaurrazaga located?

Monica Vidaurrazaga practices at 4094 4th Ave, San Diego, CA 92103. The listed phone number is (619) 515-2545.

What is Monica Vidaurrazaga's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Vidaurrazaga enrolled in Medicare?

Yes. Monica Vidaurrazaga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Monica Vidaurrazaga was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.