Active NPI
Eric Joseph Vizcarra
- Counselor
- Antioch, CA
National Provider Identifier
1760744502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1413 F St
Portable 1
Antioch, CA 94509-2220 - Phone
- (925) 777-1133
- Fax
- (925) 777-9933
- NPI assigned
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1413 F St
Portable 1
Antioch, CA 94509-2220
Mailing address
3750 Willow Pass Rd
Apt 104
Concord, CA 94519-1055
Phone (925) 262-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Cheim School, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1831289347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1760744502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 WILLOW PASS RD",
"address_2": "APT 104",
"city": "CONCORD",
"state": "CA",
"postal_code": "945191055",
"telephone_number": "925-262-6551",
"fax_number": "925-777-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 F ST",
"address_2": "PORTABLE 1",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945092220",
"telephone_number": "925-777-1133",
"fax_number": "925-777-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZCARRA",
"first_name": "ERIC",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.