Alexander Alcantra Villarasa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A34432 Issued in CA

Practice address

1180 N Indian Canyon Dr
Suite W400
Palm Springs, CA 92262-4800

Phone

(760) 416-5010

Fax

(760) 416-5001

NPI assigned

Aug 13, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1275765067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE W400",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-5010",
            "fax_number": "760-416-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE W400",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-5010",
            "fax_number": "760-416-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARASA",
        "first_name": "ALEXANDER",
        "middle_name": "ALCANTRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A34432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A344320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faviola Hernandez Vega, MS
• Roque Anthony Fulgencio Velasco, NP
• Tiffany Velasco
• Luis Arturo Vera
• Manuel Villagomez Jr.
• Brianna Villasenor
• Cristian Eduardo Villegas, FNP-C
• Vision Professionals a Medical Corporation
• Gabriel Enrico Viteri
• Karen Le Vo, DO

• Pediatrics Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.