Individual provider Active NPI

Josselyn Sarahy Villalobos Romero, LVN

  • Licensed Vocational Nurse
  • Santa Rosa, CA
National Provider Identifier
1093533457
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
739981 Issued in CA
Practice address
2227 Capricorn Way Ste 207
Santa Rosa, CA 95407-5486
Phone
(707) 228-4751
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 739981 CA Primary

Addresses

Primary practice location

2227 Capricorn Way Ste 207
Santa Rosa, CA 95407-5486

Mailing address

2367 Donna Maria Way
Santa Rosa, CA 95401-5743
Phone (707) 228-4751

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
739981CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1093533457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 DONNA MARIA WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015743",
            "telephone_number": "707-228-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 CAPRICORN WAY STE 207",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075486",
            "telephone_number": "707-228-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS ROMERO",
        "first_name": "JOSSELYN",
        "middle_name": "SARAHY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "739981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.