Active NPI
Joan Manansala Villaflor, M.D.
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1063755932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 137136
- Practice address
- 7501 Hospital Dr Ste 203
Sacramento, CA 95823-5405 - Phone
- (916) 681-1130
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT203312 | PA | |
| Pediatrics Physician | 208000000X | 137136 | CA | Primary |
Addresses
Primary practice location
7501 Hospital Dr Ste 203
Sacramento, CA 95823-5405
Mailing address
7501 Hospital Dr Ste 203
Sacramento, CA 95823-5405
Phone (916) 681-1130
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137136 | CA | MD | Pediatrics Physician |
| MT203312 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Sacramento Valley Pediatrics Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- jvillaflor306103@hisp.ehr.sutterhealth.org
- jvillaflor120741@hpmg.direct-ci.net
Organizations & group practices 3
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.
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- Pediatric Nurse Practitioner
- Sacramento, CA
- NPI 1326583030
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1063755932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 HOSPITAL DR STE 203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235405",
"telephone_number": "916-681-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 HOSPITAL DR STE 203",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235405",
"telephone_number": "916-681-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAFLOR",
"first_name": "JOAN",
"middle_name": "MANANSALA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT203312",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "137136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.