MARCO ANTONIO LOPEZ VIZCARRA M.D. - NPI 1467663963 - Psychiatry & Neurology in Mission Viejo, CA

Q: What is Marco Lopez Vizcarra's NPI number?

The NPI number for Marco Lopez Vizcarra is 1467663963. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Marco Lopez Vizcarra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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About Marco Antonio Lopez Vizcarra M.d. NPPES

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

MARCO ANTONIO LOPEZ VIZCARRA M.D. (NPI 1467663963) is an individual neurology provider in Mission Viejo, California, licensed in California (C134501) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seal Beach, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1467663963

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARCO ANTONIO LOPEZ VIZCARRACredential: M.D.

Location Address26991 CROWN VALLEY PKWY STE 100Mission Viejo, CA 92691-6511

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380

Phone(949) 582-5430

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateMay 25, 2007

Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1467663963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in CA · C134501✔ Licensed in TN · 45748

Definition

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.

26991 CROWN VALLEY PKWY STE 100, Mission Viejo, CA 92691

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Secondary Practice Location 1

Location 11198 Pacific Coast Hwy Ste 1Seal Beach, CA 90740-6251 · Phone (562) 799-7071

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

Marco Antonio Lopez Vizcarra 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 ID8820286800

PECOS Enrollment IDI20151008002338

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 2

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.

48 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

Other Providers at the Same Location NPPES 8

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

DR. CAMELLIA SHOAPOUR MD

Family Medicine