Individual provider Active NPI

Sara L Villalona, PA

  • Medical Physician Assistant
  • Richmond, VA
National Provider Identifier
1376795567
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110002493 Issued in VA
Practice address
7605 Forest Ave
Suite 205
Richmond, VA 23229-4938
Phone
(804) 282-8510
Fax
(804) 285-5750
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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 0110002493 VA Primary

Addresses

Primary practice location

7605 Forest Ave
Suite 205
Richmond, VA 23229-4938

Mailing address

7605 Forest Ave
Suite 205
Richmond, VA 23229-4938
Phone (804) 282-8510

Other names 1

  • Sara L Gur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090330000371 VA Practitioner - Physician Assistant 5092872440 Reassigns benefits to 1 organization

National Provider Directory

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

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1376795567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 205",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-282-8510",
            "fax_number": "804-285-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 205",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-282-8510",
            "fax_number": "804-285-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALONA",
        "first_name": "SARA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GUR",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.