Active NPI
Annarose Villamino Pamatmat, NP
- Nurse Practitioner
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18139
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- Fax
- (847) 570-1248
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18139 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
2650 Ridge Ave
Cardiac Surgery Division, Burch 100
Evanston, IL 60201-1718
Phone (847) 570-2868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-006573 | Other | IL | IL STATE LIC |
Other names 1
- Annarose Villamino Balanon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Rush Medical College of Rush University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1133 E Stanley Blvd
Suite 111
Livermore, CA 94550-4243
Phone (650) 723-4000
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients |
Locations
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Interoperability endpoints
- apamatmat45528@direct.stanfordhealthcare.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1306022892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000",
"fax_number": "847-570-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000",
"fax_number": "847-570-1248"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave",
"address_2": "Cardiac Surgery Division, Burch 100",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011718",
"country_code": "US",
"telephone_number": "847-570-2868",
"fax_number": "847-733-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAMATMAT",
"first_name": "ANNAROSE",
"middle_name": "VILLAMINO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "18139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LIC",
"identifier": "209-006573",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNAROSE",
"last_name": "BALANON",
"middle_name": "VILLAMINO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.