Active NPI
Angel Vilchis, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1033675954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2799
- Practice address
- 1841 Belle Isle Blvd Ste L
Oklahoma City, OK 73118-4226 - Phone
- (405) 445-7504
- NPI assigned
- Feb 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2799 | OK | Primary |
Addresses
Primary practice location
1841 Belle Isle Blvd Ste L
Oklahoma City, OK 73118-4226
Mailing address
PO Box 175
Bromide, OK 74530-0175
Phone (580) 380-7627
Other names 1
- Mr. Angel Vilchis-Flores
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Man O War CT
Edmond, OK 73025-9512
Phone (405) 623-0509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2799 | OK | MD | Optometrist |
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.
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- Norman, OK
- NPI 1245286285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1033675954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"city": "BROMIDE",
"state": "OK",
"postal_code": "745300175",
"telephone_number": "580-380-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 BELLE ISLE BLVD STE L",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184226",
"telephone_number": "405-445-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILCHIS",
"first_name": "ANGEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGEL",
"last_name": "VILCHIS-FLORES",
"prefix": "MR.",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.