Active NPI
Brandon Oscar Villalobos, PT, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 306434
- Practice address
- 15373 Innovation Dr Ste 220
San Diego, CA 92128-3425 - Phone
- (858) 400-8281
- NPI assigned
- Aug 9, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 306434 | CA | Primary |
Addresses
Primary practice location
15373 Innovation Dr Ste 220
San Diego, CA 92128-3425
Mailing address
8615 Robles Dr Unit G
San Diego, CA 92119-1454
Phone (661) 319-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15373 Innovation Dr
Suite 220
San Diego, CA 92128-3425
Phone (858) 592-8855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
| Eggleton Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
Locations
2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422
2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176
317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144
15373 Innovation Dr
Ste 220
San Diego, CA 92128
Phone (858) 217-4369
10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Organizations & group practices 5
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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- NPI 1972229805
Physical Therapist
-
- Physical Therapist
- San Diego, CA
- NPI 1932659570
-
- Physical Therapist
- Encinitas, CA
- NPI 1588610315
-
- Physical Therapist
- Calexico, CA
- NPI 1851347686
-
- Physical Therapist
- Chula Vista, CA
- NPI 1225084056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1104657444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8615 ROBLES DR UNIT G",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191454",
"telephone_number": "661-319-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15373 INNOVATION DR STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283425",
"telephone_number": "858-400-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "BRANDON",
"middle_name": "OSCAR",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "306434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.