Michael Villongco, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A21603 Issued in CA

Practice address

801 11TH St
Lakeport, CA 95453-4100

Phone

(707) 263-3746

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella Health and Wellness IncGroup PAC ID 7517319148, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Services Home health agency, Lower Lake, CA, CCN 057710
• Sutter Care at Home Home health agency, Lakeport, CA, CCN 057620
• Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
• Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
• Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
• Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bella Health and Wellness Inc

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1710643051
  Medicare reassignment Care Compare group
• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Medicare reassignment NPD
• Adventist Health Clearlake Hospital, Inc

  • Rural Health Clinic/Center
  • Lakeport, CA
  • NPI 1871063040
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Care Compare affiliation
• St. Helena Hospital

  • General Acute Care Hospital
  • Saint Helena, CA
  • NPI 1720078082
  Care Compare affiliation
• Sutter Bay Hospitals

  • Critical Access Hospital
  • Lakeport, CA
  • NPI 1952634008
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  • Home Health Agency
  • Lakeport, CA
  • NPI 1871734244
  Care Compare affiliation
• Ukiah Adventist Hospital

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676
  Care Compare affiliation
• Western Health Resources

  • Home Health Agency
  • Lower Lake, CA
  • NPI 1063762896
  Care Compare affiliation

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1326530825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CRESCENT AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013707",
            "telephone_number": "650-892-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 11TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534100",
            "telephone_number": "707-263-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLONGCO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-03-25",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aundrea Renee Tyner, P.T.
• Armond Thomas Urbano, CAS,RAS
• Kimberly Valdez
• Paul Vartabedian, D.D.S.
• Hannah Layne Vertrees
• Dorian Vincent de Paule
• Andrew Dang Huan Vo, PHARMD
• Nicholas Scott Wahlstrand, OTR
• Holly Diane Warneck, MFT
• Barbara Ann Warner

• Family Medicine Physician in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.

Verify at the official NPI Registry.