Shirley R. Villarica, M.D. Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A32139 Issued in CA

Legal business name

SHIRLEY R. VILLARICA, M.D. INC.

Practice address

1135 S Sunset Ave Ste 410
West Covina, CA 91790-3965

Phone

(626) 814-8800

Fax

(626) 814-8811

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Villarica, M.D.

Title

President

Phone

(626) 814-8800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1427469485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 410",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903965",
            "telephone_number": "626-814-8800",
            "fax_number": "626-814-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 410",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903965",
            "telephone_number": "626-814-8800",
            "fax_number": "626-814-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY R. VILLARICA, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "VILLARICA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-814-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A32139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1851371595",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A321391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Shi
• Kanoknuch Shiflett, D.D.S.
• Oumaima Shilleh
• Shine Medical Group Inc.
• Shinning Care
• Jessica Shivers
• Lina E. Shuhaibar, M.D.
• Lie H. Sie, D.D.S.
• Vanessa I Sierra
• George Siles

• Medical Specialty Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.