Solomon Villalon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20315 Issued in CO

Practice address

809 Main St
Suite #3
Walsenburg, CO 81089-2149

Phone

(719) 738-2606

Fax

(719) 738-1746

NPI assigned

Jun 17, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1275538092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "address_2": "809 MAIN ST. STE 3",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810890150",
            "telephone_number": "719-738-2606",
            "fax_number": "719-738-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MAIN ST",
            "address_2": "SUITE #3",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892149",
            "telephone_number": "719-738-2606",
            "fax_number": "719-738-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALON",
        "first_name": "SOLOMON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "20315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01203157",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Vallejos, CCC-SLP
• Vigil Enterprises
• James Theodore Vigil, D.C.
• Jerriann Vigil, PHYSICIAN ASSISTANT
• Sandeep Suresh Vijan, MD
• Susan Kae Walker, NP
• Walsen Clinic
• Dana Walsh
• Philip Owen Warlick, DDS
• Timothy Whitthorne III

• Family Medicine Physician in Walsenburg, CO
• Providers in Walsenburg, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.