Marietta Joy Luzon-Vidad, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001455 Issued in CA

Practice address

20920 Chico St
Carson, CA 90746-3603

Phone

(424) 444-5097

Fax

(833) 973-3630

NPI assigned

May 18, 2015

Last updated

Aug 21, 2026By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marietta.luzon-vidad.1@17371.direct.athenahealth.com

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

• Albion Medical Partners of California West P C

  dba CareMore Health Medical Partners West, PC

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1073110607
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1659759074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 W ESTATES LN UNIT 202",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744171",
            "telephone_number": "310-354-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20920 CHICO ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463603",
            "telephone_number": "424-444-5097",
            "fax_number": "833-973-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZON-VIDAD",
        "first_name": "MARIETTA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Lum, DDS
• Lutemi Medical Supply
• Lutemi Medical Supply, Inc.
• Luxottica of America Inc (Target Optical #Q739)
• Luxottica Retail North America Inc (Sears Optical #1765)
• Kathy Nhi Ly
• Latoia Odessa Lyons
• Kurene T Ma'O, M.D.
• Dywana Carolyn Mack, PTA
• Lisa Macmillan

• Family Nurse Practitioner in Carson, CA
• Providers in Carson, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.