Active NPI
Daniel Anthony Villegas, PA-C
- Medical Physician Assistant
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA22510
- Practice address
- 30979 Road 67
Visalia, CA 93291-9303 - Phone
- (559) 651-2301
- Fax
- (559) 651-1584
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA22510 | CA | Primary |
Addresses
Primary practice location
30979 Road 67
Visalia, CA 93291-9303
Mailing address
30979 Road 67
Visalia, CA 93291-9303
Phone (559) 651-2301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22510 | Other | CA | CA LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22510 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Family Healthcare Network | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| Anand Narayan MD Inc | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700
3600 W Flagstaff Ave
Visalia, CA 93291
Phone (559) 624-6090
1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090
1110 S Ben Maddox Way
#B
Visalia, CA 93292
Phone (559) 624-4800
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
- Urgent Care Clinic/Center
- Visalia, CA
- NPI 1790795458
-
- Emergency Medicine Physician
- Clovis, CA
- NPI 1184997645
-
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1356059745
-
- Rural Health Clinic/Center
- Dinuba, CA
- NPI 1477177210
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Rural Health Clinic/Center
- Exeter, CA
- NPI 1043272172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1316296254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30979 ROAD 67",
"city": "VISALIA",
"state": "CA",
"postal_code": "932919303",
"telephone_number": "559-651-2301",
"fax_number": "559-651-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30979 ROAD 67",
"city": "VISALIA",
"state": "CA",
"postal_code": "932919303",
"telephone_number": "559-651-2301",
"fax_number": "559-651-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "DANIEL",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA22510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "22510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.