Individual provider Active NPI

Christopher Lynn Villard, M.D.

  • Dermatopathology Physician
  • Visalia, CA
National Provider Identifier
1376515742
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
G39785 Issued in CA
Practice address
1027 N Demaree St
Visalia, CA 93291-4117
Phone
(559) 733-5050
Fax
(559) 733-8954
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X G39785 CA Primary

Addresses

Primary practice location

1027 N Demaree St
Visalia, CA 93291-4117

Mailing address

1027 N Demaree St
Visalia, CA 93291-4117
Phone (559) 733-5050

Other identifiers 1

IdentifierTypeStateIssuer
00G397850MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429001233 CA Practitioner - Dermatology 7315074960 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G39785CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Past Accepting new patients

Organizations & group practices 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1376515742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914117",
            "telephone_number": "559-733-5050",
            "fax_number": "559-733-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914117",
            "telephone_number": "559-733-5050",
            "fax_number": "559-733-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G39785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G397850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.