Active NPI
Paul Entienza Villarubia, DDS
- Dentist
- Anaheim, CA
National Provider Identifier
1174656854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55505
- Practice address
- 2270 W Lincoln Ave
Suite B
Anaheim, CA 92801-6544 - Phone
- (714) 635-2388
- Fax
- (714) 635-4888
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 55505 | CA | Primary |
Addresses
Primary practice location
2270 W Lincoln Ave
Suite B
Anaheim, CA 92801-6544
Mailing address
680 S Magnolia Ave
Anaheim, CA 92804-3318
Phone (714) 635-2388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D55505 | Medicaid | CA |
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 |
|---|---|---|---|
| 55505 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul E Villarubia DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Anaheim, CA
- NPI 1528433687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1174656854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S MAGNOLIA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043318",
"telephone_number": "714-635-2388",
"fax_number": "714-635-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 W LINCOLN AVE",
"address_2": "SUITE B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016544",
"telephone_number": "714-635-2388",
"fax_number": "714-635-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARUBIA",
"first_name": "PAUL",
"middle_name": "ENTIENZA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D55505",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.