Karrl Vitor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15624 Issued in CA

Practice address

1007 E Cooley Dr # 107
Colton, CA 92324-3901

Phone

(760) 340-9832

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1023685104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32178 DAISY DR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968952",
            "telephone_number": "951-514-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E COOLEY DR # 107",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243901",
            "telephone_number": "760-340-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITOR",
        "first_name": "KARRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jonathan Villarreal
• Keiry Emely Villatoro
• Brenda Villeda
• Marie Ann Villegas, RPH
• Fernando Edwards Viorato Jr., CRNA
• Vituity Healthcare Services PC
• Andrew Dat Vu
• Austin Huy Vu, DO
• Margaret Wacker, MD
• Baljinder Kaur Wahla

• Speech-Language Pathologist in Colton, CA
• Providers in Colton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.