Individual provider Active NPI

Sandra Villafana, LM, CPM

  • Midwife
  • Chula Vista, CA
National Provider Identifier
1063820835
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM 314 Issued in CA
Practice address
2505 Trail Marker PL
Chula Vista, CA 91914-4160
Phone
(619) 778-2435
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM 314 CA Primary

Addresses

Primary practice location

2505 Trail Marker PL
Chula Vista, CA 91914-4160

Mailing address

2505 Trail Marker PL
Chula Vista, CA 91914-4160
Phone (619) 778-2435

Other names 1

  • Mrs. Sandra McLay Villafana Other name

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

State licenses

LicenseStateTypeSpecialty
LM 314CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1063820835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 TRAIL MARKER PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144160",
            "telephone_number": "619-778-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 TRAIL MARKER PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144160",
            "telephone_number": "619-778-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANA",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM 314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MCLAY VILLAFANA",
            "prefix": "MRS.",
            "credential": "LM, CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.