Individual provider Active NPI

Rebecca Helena Villarama

  • Licensed Vocational Nurse
  • Fresno, CA
National Provider Identifier
1144799412
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN288013 Issued in CA
Practice address
1310 M St
Fresno, CA 93721-1808
Phone
(559) 264-2700
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 VN288013 CA Primary

Addresses

Primary practice location

1310 M St
Fresno, CA 93721-1808

Mailing address

1235 E St
Fresno, CA 93706-2024
Phone (559) 268-6261

Other practice location 1

1235 E St
Fresno, CA 93706-2024
Phone (559) 268-6261

Other practice location 2

539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 266-9581

Other practice location 3

3103 E Cartwright Ave
Fresno, CA 93725-9385
Phone (559) 498-7100

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
VN288013CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1144799412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062024",
            "telephone_number": "559-268-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 M ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211808",
            "telephone_number": "559-264-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 E St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937062024",
            "country_code": "US",
            "telephone_number": "559-268-6261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "539 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283419",
            "country_code": "US",
            "telephone_number": "559-266-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3103 E Cartwright Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937259385",
            "country_code": "US",
            "telephone_number": "559-498-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARAMA",
        "first_name": "REBECCA",
        "middle_name": "HELENA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN288013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.