1. Home
  2. Directory
  3. California
  4. Campo
  5. Physician Assistant
  6. NPI Profile

MARCO LIZARRAGA RADT
NPI 1598566200
Physician Assistant - Medical in Campo, CA

Active since March 20, 2025
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906(619) 478-5696 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marco Lizarraga Radt NPPES

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

MARCO LIZARRAGA RADT (NPI 1598566200) is an individual medical provider in Campo, California, licensed in California (CMAC-8054) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1598566200
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARCO LIZARRAGACredential: RADT
Location Address1777 BUCKMAN SPRINGS RDCampo, CA 91906-2022
Mailing Address1777 Buckman Springs RdCampo, CA 91906-2022 · (619) 478-5696
Phone(619) 478-5696
Sole ProprietorNo
Enumeration DateMarch 20, 2025
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1598566200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · CMAC-8054
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License R1602980325 (CA)
1777 BUCKMAN SPRINGS RD, Campo, CA 91906
Open in Google Maps ↗

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.

OMAR HERNANDEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
JONATHAN SANDOVAL CCMA
Physician Assistant
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
MR. MARCO MARTINEZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CORINNA D. BYNUM RN
Registered Nurse (Administrator)
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
TIM SHAPLIN RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
SAN DIEGO FREEDOM RANCH, INC.
Substance Abuse Rehabilitation Facility
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CARLOS ALBERTO RAMIREZ RADT
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696
CHRISTOPHER DAVID SERNA CPSS
Counselor (Addiction (Substance Use Disorder))
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906
San Diego County (619) 478-5696

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 Marco Lizarraga's NPI number?

The NPI number for Marco Lizarraga is 1598566200. It was assigned to this individual provider in the NPPES registry on March 20, 2025.

Where is Marco Lizarraga located?

Marco Lizarraga practices at 1777 Buckman Springs Rd, Campo, CA 91906. The listed phone number is (619) 478-5696.

What is Marco Lizarraga's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Marco Lizarraga was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.