Individual provider Active NPI

Robin Maiquel Villatoro, FNP-C

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1316773708
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029101 Issued in CA
Practice address
2000 Sierra Road
Concord, CA 94518
Phone
(925) 363-2000
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029101 CA Primary

Addresses

Primary practice location

2000 Sierra Road
Concord, CA 94518

Mailing address

3376 Ashbourne Cir
San Ramon, CA 94583-9113
Phone (925) 813-1019

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
I20240927001465 CA Practitioner - Nurse Practitioner 2769913029 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2024 Accepting new patients
Epic Care CurrentSince Oct 7, 2025 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2024 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2345 Country Hills Dr
Antioch, CA 94509
Phone (925) 418-0278

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

Organizations & group practices 6

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1316773708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 ASHBOURNE CIR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945839113",
            "telephone_number": "925-813-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SIERRA ROAD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94518",
            "telephone_number": "925-363-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLATORO",
        "first_name": "ROBIN",
        "middle_name": "MAIQUEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.