Individual provider Active NPI

Vivian Barbara Insua-Lopez, PSY. D

  • Psychologist
  • Mission Hills, CA
National Provider Identifier
1629261862
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 26404 Issued in CA
Practice address
15455 San Fernando Mission Blvd Ste 300
Mission Hills, CA 91345-1353
Phone
(818) 419-6506
Fax
(818) 847-7830
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 26404 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

15455 San Fernando Mission Blvd Ste 300
Mission Hills, CA 91345-1353

Mailing address

15455 San Fernando Mission Blvd Ste 300
Mission Hills, CA 91345-1353
Phone (818) 419-6506

Other identifiers 1

IdentifierTypeStateIssuer
CB224028OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203000006 CA Practitioner - Clinical Psychologist 3173845104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15455 San Fernando Mission Blvd
Suite 300
Mission Hills, CA 91345-1353
Phone (818) 408-9284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 26404CAMDPsychologist
26404CAMDPhysical Therapist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1629261862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 SAN FERNANDO MISSION BLVD STE 300",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451353",
            "telephone_number": "818-419-6506",
            "fax_number": "818-847-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 SAN FERNANDO MISSION BLVD STE 300",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451353",
            "telephone_number": "818-419-6506",
            "fax_number": "818-847-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INSUA-LOPEZ",
        "first_name": "VIVIAN",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 26404",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB224028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.