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CLINICA MEDICA DOCTOR VIZCARRA
NPI 1629405964
Clinic/Center - Primary Care in Norcross, GA

Active since October 01, 2013CLIA 11D2069050 · Waiver
6825 JIMMY CARTER BLVD, SUITE 1590, NORCROSS, GA 30071(678) 615-2565 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinica Medica Doctor Vizcarra NPPES

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

CLINICA MEDICA DOCTOR VIZCARRA (NPI 1629405964) is a healthcare organization registered as a primary care in Norcross, Georgia and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Luis Rafael Vizcarra-falla, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629405964
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINICA MEDICA DOCTOR VIZCARRA
Location Address6825 JIMMY CARTER BLVD, SUITE 1590Norcross, GA 30071-1228
Mailing Address6825 Jimmy Carter Blvd, Suite 1590Norcross, GA 30071-1228 · (678) 615-2565
Phone(678) 615-2565
Organization SubpartNo
Authorized OfficialLuis Rafael Vizcarra-fallaMedical Director · (678) 615-2565
Enumeration DateOctober 1, 2013
✔ NPI 1629405964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · 68630
6825 JIMMY CARTER BLVD, Norcross, GA 30071
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2069050

Clinica Medica Doctor Vizcarra · Norcross, GA
Active · expires Nov 17, 2027
CLIA Number11D2069050
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorLuis Vizcarra-Falla
Laboratory Phone(678) 615-2565
Laboratory LocationClinica Medica Doctor Vizcarra6825 Jimmy Carter Blvd, Building 1400, Suite 1490, Norcross, GA 30071
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

OCCUPATIONAL HEALTHWORX LLC
Preventive Medicine (Occupational Medicine)
6825 JIMMY CARTER BLVD, SUITE1100
NORCROSS, GA 30071
Gwinnett County (404) 855-3300
LAI MAN KAN N.P
Nurse Practitioner (Family)
6825 JIMMY CARTER BLVD, BUILDING 1400 SUITE 1490
NORCROSS, GA 30071
Gwinnett County (770) 817-9766
VAS SOLUTIONS LLC
Community/Behavioral Health
6825 JIMMY CARTER BLVD
NORCROSS, GA 30071
Gwinnett County (216) 479-9294
MEDRELIEF, INC.
Durable Medical Equipment & Medical Supplies
6825 JIMMY CARTER BLVD, SUITE 1303
NORCROSS, GA 30071
Gwinnett County (770) 849-9595
DR. LOUISE FARMER SHEFFIELD MD
Preventive Medicine (Occupational Medicine)
6825 JIMMY CARTER BLVD, SUITE1100
NORCROSS, GA 30071
Gwinnett County (404) 855-3300
LUIS RAFAEL VIZCARRA-FALLA MD
Internal Medicine
6825 JIMMY CARTER BLVD, SUITE 1590
NORCROSS, GA 30071
Gwinnett County (678) 615-2565
JANE TURLEY STCLAIR MD,MPH
Preventive Medicine (Occupational Medicine)
6825 JIMMY CARTER BLVD, SUITE 1100
NORCROSS, GA 30071
Gwinnett County (770) 449-5161
B FIT 4 LIFE, INC
Internal Medicine
6825 JIMMY CARTER BLVD, SUITE1800
NORCROSS, GA 30071
Gwinnett County (404) 496-4386

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 Clinica Medica Doctor Vizcarra's NPI number?

The NPI number for Clinica Medica Doctor Vizcarra is 1629405964. It was assigned to this organization in the NPPES registry on October 1, 2013.

Where is Clinica Medica Doctor Vizcarra located?

Clinica Medica Doctor Vizcarra is located at 6825 Jimmy Carter Blvd Suite 1590, Norcross, GA 30071. The listed phone number is (678) 615-2565.

What is Clinica Medica Doctor Vizcarra's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Clinica Medica Doctor Vizcarra hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2069050) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Medica Doctor Vizcarra was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.