Dexter Villanueva, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28244 Issued in CA

Practice address

40845 Engelmann Oak St.
Murrieta, CA 92562

Phone

(626) 589-1101

NPI assigned

Aug 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285151464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40845 ENGELMANN OAK ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626038",
            "telephone_number": "626-589-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40845 ENGELMANN OAK ST.",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "626-589-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "DEXTER",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Veve, MD
• Cederick Jason Victor, LCSW
• Pamela Doreen Vidato, PHYSICIAN ASSISTANT
• Reed Andrew Vierra, PSY.D.
• Joana Villa
• Ma. Cristina Villanueva, PTA
• Robert Villanueva, NP
• Shandra Villasenor
• Vimi Kapur M D Anesth Esiologist Inc a Professional Corporation
• Amanda Lynn Vincent

• Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.