Active NPI
Maria Jose Villatoro, LSA
- Surgical Physician Assistant
- Cypress, TX
National Provider Identifier
1144735580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00788
- Practice address
- 17914 Dovetail Creek CT
Cypress, TX 77433-7208 - Phone
- (832) 812-8342
- NPI assigned
- Dec 7, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17-102 | TX | |
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | SA00788 | TX | Primary |
Addresses
Primary practice location
17914 Dovetail Creek CT
Cypress, TX 77433-7208
Mailing address
PO Box 1156
Cypress, TX 77410
Phone (832) 812-8342
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-102 | TX | MD | Surgery Physician |
| SA00788 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Surgical Assistant Services | Surgical | Current | Accepting new patients |
| Houston Surgical Assistant Services | Surgery | Past | Accepting new patients |
| Houston Surgical Assistant Services, Inc. | Surgery | Past | Accepting new patients |
Locations
16635 Spring Cypress Rd
Cypress, TX 77429
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
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.
-
- Surgical Physician Assistant
- Cypress, TX
- NPI 1275091332
-
- Surgery Physician
- Houston, TX
- NPI 1184703902
-
- Surgical Physician Assistant
- Houston, TX
- NPI 1861758609
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1144735580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1156",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77410",
"telephone_number": "832-812-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17914 DOVETAIL CREEK CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774337208",
"telephone_number": "832-812-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLATORO",
"first_name": "MARIA",
"middle_name": "JOSE",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "17-102",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.