CLINICA MEDICA DOCTOR VIZCARRA (NPI# 1629405964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629405964 |
| Entity Type | Organization |
| Organization Name | CLINICA MEDICA DOCTOR VIZCARRA |
| Practice Address |
6825 Jimmy Carter Blvd Suite 1590 Norcross GA 30071-1228 |
| Practice Telephone | 6786152565 |
| Mailing Telephone | 6786152565 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | DR. LUIS RAFAEL VIZCARRA-FALLA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6786152565 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
68630 | GA | Ambulatory Health Care Facilities |
| Street Address |
6825 JIMMY CARTER BLVD SUITE 1590 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730146077 | Jane Turley Stclair | Preventive Medicine | 6825 Jimmy Carter Blvd, Suite 1100, Norcross, GA 30071-1228 | 2006-04-28 |
| 1235474008 | Lai Man Kan | Registered Nurse | 6825 Jimmy Carter Blvd, Building 1400 Suite 1490, Norcross, GA 30071-1228 | 2012-12-05 |
| 1154670214 | Occupational Healthworx LLC | Preventive Medicine | 6825 Jimmy Carter Blvd, Suite1100, Norcross, GA 30071-1228 | 2012-09-05 |
| 1497029565 | Luis Rafael Vizcarra-falla | Internal Medicine | 6825 Jimmy Carter Blvd, Suite 1590, Norcross, GA 30071-1228 | 2012-03-06 |
| 1730315235 | B Fit 4 Life, Inc | Nutritionist | 6825 Jimmy Carter Blvd, Suite1800, Norcross, GA 30071-1228 | 2009-06-10 |
| 1336312818 | Medrelief, Inc. | Durable Medical Equipment & Medical Supplies | 6825 Jimmy Carter Blvd, Suite 1303, Norcross, GA 30071-1257 | 2008-04-07 |
| 1376677930 | Louise Farmer Sheffield | Preventive Medicine | 6825 Jimmy Carter Blvd, Suite1100, Norcross, GA 30071-1228 | 2007-03-15 |
| 1811939028 | Steve Chris Scott | Physical Therapist | 6825 Jimmy Carter Blvd, Suite 1100, Norcross, GA 30071-1228 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265880348 | Tory Banks | Clinic/Center | 1091 Ashmore Trce, Norcross, GA 30093-4645 | 2016-05-30 |
| 1669756292 | Stay Well Pediatrics LLC | Clinic/Center | 5139 Jimmy Carter Blvd, Suite # 205, Norcross, GA 30093-1680 | 2011-09-30 |
| 1841571213 | La Vista Norcross Clinic | Clinic/Center | 2625 Beaver Ruin Rd Ste B, Norcross, GA 30071-4136 | 2011-08-30 |
| 1598383754 | Norcross Pediatric and Family Medicine | Clinic/Center | 4608 Jimmy Carter Blvd Ste 7, Norcross, GA 30093-3758 | 2020-07-13 |
| 1477032340 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 4356 Communications Dr, Norcross, GA 30093-2901 | 2018-08-10 |
| 1255831293 | Good Samaritan Health Center | Clinic/Center | 4864 Jimmy Carter Blvd, Norcross, GA 30093-3701 | 2018-02-16 |
| 1316495021 | Good Samaritan Health Center of Gwinnett | Clinic/Center | 5949 Buford Hwy, Norcross, GA 30071-2472 | 2016-09-12 |
| 1427443217 | Absolute Care Pediatrics, Lp | Clinic/Center | 3459 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-3102 | 2015-03-30 |
| 1013321702 | Lifeline Medical Center, LLC | Clinic/Center | 3330 Peachtree Corners Cir Ste H, Norcross, GA 30092-3657 | 2014-06-20 |
| 1770995946 | Stone Mountain Skin Health Center | Clinic/Center | 5430 Jimmy Carter Blvd, Norcross, GA 30093 | 2014-05-22 |
| Find all providers in NORCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.