Robert Anthony Villa, L.AC., MACOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

010079 Issued in AZ

Practice address

9175 E Tanque Verde Rd Ste 101
Tucson, AZ 85749-8820

Phone

(520) 398-4900

Fax

(520) 398-4995

NPI assigned

Aug 18, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Envision Wellness LLC

  • Clinic/Center
  • Tucson, AZ
  • NPI 1538718184
  NPD

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1427604131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 N CALLE RICARDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162904",
            "telephone_number": "804-683-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 E TANQUE VERDE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498820",
            "telephone_number": "520-398-4900",
            "fax_number": "520-398-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "L.AC., MACOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "010079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Villa Siongco Corporation
• Luis Villa-Celis
• Adriana Villa
• Elizabeth Marie Villa
• Maria Sara Villa, RN
• Susana Villa, MC, LPC
• Loren Villablanca
• Dulce Villaescusa
• Kathryn A Villaescusa
• Abigail Villafane, RN

• Acupuncturist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.