Doris Villegas Vazquez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

360 S Westlake Ave
Los Angeles, CA 90057-2906

Phone

(213) 483-9201

Fax

(213) 382-0136

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1154885903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WESTLAKE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572906",
            "telephone_number": "213-483-9201",
            "fax_number": "213-382-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS VAZQUEZ",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1381200320",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dorisvv@socialmodel.com",
            "affiliation": "N",
            "address_1": "360 S Westlake Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900572906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luis Villavicencio, B.A.
• Monika Yuriko Villazon, NP
• Robin Villeda Aldana, D.P.T.
• Melvis Villeda, BA
• Vicky Villegas Diaz
• Nathalie Guadalupe Villegas-Moreno
• Alicia Villegas, LCSW
• Andy Villegas
• Carla Isabel Villegas
• Christian Noel Baldado Villegas, CRNA

• Behavior Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.