Ivan Villaneda, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

79 New Montgomery St
San Francisco, CA 94105-3410

Phone

(909) 295-1320

NPI assigned

May 18, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1265969323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 HARVEST MOON ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441337",
            "telephone_number": "909-295-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 NEW MONTGOMERY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053410",
            "telephone_number": "909-295-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANEDA",
        "first_name": "IVAN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Villalobos
• Gabriela Villalobos
• Mark Villalobos
• Melissa Villalobos
• Jacqueline Debbie Villalta, M.D.
• Javier Villanueva-Meyer
• Andrew Thomas Villanueva
• Anthony James Villanueva
• Celeste G Villanueva, CRNA
• Darine Villanueva

• Athletic Trainer in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.