Juan Villalba, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13323 Issued in TX

Practice address

1050 N Westmoreland Rd Ste 432
Dallas, TX 75211-2456

Phone

(214) 333-3033

Fax

(214) 330-2163

NPI assigned

Sep 3, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: juan.villalba@slfp.eclinicaldirectplus.com

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.

• Woodlands Health Group, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Spring, TX
  • NPI 1902389521
  Medicare reassignment
• Woodlands Health Group, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Spring, TX
  • NPI 1811537699
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1205484268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 SHADOW RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384623",
            "telephone_number": "915-356-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N WESTMORELAND RD STE 432",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112456",
            "telephone_number": "214-333-3033",
            "fax_number": "214-330-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALBA",
        "first_name": "JUAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliana Villado
• Jessica Natalia Villafana
• Crystal Celeste Villafranco, LMSW
• Village DDS PLLC
• Village Family Dental
• Samaria Villalobos-Rivera
• Denise Kelly Villalobos
• Fabian Villalobos
• Patricia Villalobos
• Emily Marie Villalpando, CRNA

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.