Samuel Lisama Villapando

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

53970 Issued in CA

Practice address

10850 Arrow Rte
Rancho Cucamonga, CA 91730-4833

Phone

(833) 574-2273

NPI assigned

Jul 4, 2026

Sex

Male

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": "1783123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1003733510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45571 BASSWOOD CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922861",
            "telephone_number": "951-760-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 ARROW RTE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304833",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAPANDO",
        "first_name": "SAMUEL",
        "middle_name": "LISAMA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "53970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant S Villanueva
• Diana Michelle Villanueva
• Dianne Villanueva
• Sandra-Maria Razo Villanueva
• Yessenia Villanueva
• Lisa Villar, OTR/L, CPAM
• Martha Pantua Villarete, DDS
• Laura Teresa Villarroel, D.D.S.
• Jovani Villasenor
• Bridny Emeline Villasensor

• Student in an Organized Health Care Education/Training Program in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.