Melanie Villalobos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101074 Issued in CA

Practice address

1001 B Ave #313
Coronado, CA 92118

Phone

(619) 435-0844

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pham DDS Dental Corp

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1396577656
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1184004871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 B AVE #313",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "92118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 B AVE #313",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "92118",
            "telephone_number": "619-435-0844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 Station Village Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921086567",
            "country_code": "US",
            "telephone_number": "619-574-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Valenzuela Campos
• Dayna Van Dooren, PA-C
• Valerie Krysia Vanhorn
• Jennifer Vasquez
• Ventura Heath Care Inc
• Felicia Villaroman, PHARM.D.
• Diane Villegas, ACAGNP-BC
• Vipeak PC
• Wagner Drug Corporation
• Elizabeth Wagner, RD, CCN

• General Practice Dentistry in Coronado, CA
• Providers in Coronado, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.