Evedarda Melissa Vizcarra

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

841 San Bruno Ave W RM 1
San Bruno, CA 94066-3437

Phone

(415) 375-7629

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1093935579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W RM 1",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663437",
            "telephone_number": "415-375-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W RM 1",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663437",
            "telephone_number": "415-375-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRA",
        "first_name": "EVEDARDA",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria De Jesus Villanueva, BEHAVIORAL THERAPIST
• Reyla Villanueva
• Jhovilynne-April Rosana Vinas
• Lilian Vinas
• Arianne Viray
• Kim Marie Vo
• April C. Vogensen-Cascao, PSY.D.
• Teresa Vollert
• Asia Vue
• Sandy My Vuong

• Mental Health Counselor in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.