Individual provider Active NPI

Marcus Aurelio Leal Vieira, D.O.

  • Anesthesiology Physician
  • Visalia, CA
National Provider Identifier
1942569223
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BP10043703 Issued in TX
Practice address
307 Irma St
Visalia, CA 93292-2611
Phone
(408) 646-3160
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10043703 TX Primary

Addresses

Primary practice location

307 Irma St
Visalia, CA 93292-2611

Mailing address

307 Irma Street
Visalia, CA 93292-2611
Phone (408) 646-3160

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160923002277 CA Practitioner - Anesthesiology 6901193648 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Anesthesia Services PCGroup PAC ID 1951818350, 8 clinicians
Core Anesthesia Provider Services PCGroup PAC ID 7719367093, 10 clinicians

Practice addresses (Care Compare)

36 W Yokuts Ave
Suite 3
Stockton, CA 95207-5713
Phone (209) 952-1189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10043703TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Anesthesia Services PC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Core Anesthesia Provider Services PC Anesthesiology CurrentSince Sep 26, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 29, 2021 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
First Choice Physician Partners CurrentSince Jun 15, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 29, 2021 Accepting new patients
First Choice Physician Partners CurrentSince Jun 15, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients

Locations

521 S Ham Ln
Lodi, CA 95242
Phone (209) 333-0905

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1334 Nelson Ave
Modesto, CA 95350
Phone (209) 524-9904

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

3850 Geer Rd
Turlock, CA 95382
Phone (209) 668-9866

Organizations & group practices 10

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1942569223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 IRMA STREET",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922611",
            "telephone_number": "408-646-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 IRMA ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932922611",
            "telephone_number": "408-646-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "MARCUS",
        "middle_name": "AURELIO LEAL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10043703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.