Backstage Health

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BACKSTAGE HEALTH

Practice address

5755 Oberlin Dr Ste 301
San Diego, CA 92121-4717

Phone

(888) 316-0439

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miguel A Del Villar, RN,CSNNPI 1629689088

Title

Ceo

Phone

(619) 737-7060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguel Angel Del Villar, RN,CSN

  • Registered Nurse
  • San Diego, CA
  • NPI 1629689088
  Authorized official Same address or phone

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1164229852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214717",
            "telephone_number": "888-316-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214717",
            "telephone_number": "888-316-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKSTAGE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "DEL VILLAR",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-737-7060",
        "authorized_official_credential": "RN,CSN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Back
• Lisa Henriksen Backer, PH.D.
• Rushton Arthur Backer, PHD
• Kassady Backes
• Autumn Loreene Backhaus, PH.D.
• Kirsten Baclig
• Dan Bacon, M.A.
• Danielle Nicole Bacon
• Elizabeth Bacon, PHD
• Meriah Bacon, PHARMD, RPH

• Local Education Agency (LEA) in San Diego, CA
• Providers in San Diego, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.