Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MARIETTA JOY LUZON-VIDAD NP
NPI 1659759074
Nurse Practitioner - Family in Carson, CA

Q: What is Marietta Luzon-vidad's NPI number?

The NPI number for Marietta Luzon-vidad is 1659759074. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Marietta Luzon-vidad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 18, 2015PECOS Enrolled

20920 CHICO ST, CARSON, CA 90746(424) 444-5097(833) 973-3630 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mrs. Marietta Joy Luzon-vidad Np NPPES

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

MRS. MARIETTA JOY LUZON-VIDAD NP (NPI 1659759074) is an individual family provider in Carson, California, licensed in California (95001455) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659759074

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARIETTA JOY LUZON-VIDADCredential: NP

Location Address20920 CHICO STCarson, CA 90746-3603

Mailing Address3604 W Estates Ln Unit 202Rolling Hills Estates, CA 90274-4171 · (310) 354-4311

Phone(424) 444-5097

Fax(833) 973-3630

Sole ProprietorNo

Enumeration DateMay 18, 2015

Last NPPES UpdateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1659759074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95001455

20920 CHICO ST, Carson, CA 90746

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marietta Joy Luzon-vidad Np 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 90746 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.

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.

APARNA S AKOLKAR MD

Internal Medicine