Individual provider Active NPI

Daniel Anthony Villegas, PA-C

  • Medical Physician Assistant
  • Visalia, CA
National Provider Identifier
1316296254
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA22510 Issued in CA
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

Updated by the provider on Sep 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22510OtherCACA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000350 CA Practitioner - Physician Assistant 0941452080 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA22510CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Cep America - California CurrentSince Nov 1, 2013 Accepting new patients
Kaweah Delta Health Care District CurrentSince Aug 29, 2025 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.

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

Verify at the official NPI Registry.