Individual provider Active NPI

Byron Alfredo Villagran, COTA

  • Occupational Therapy Assistant
  • Laguna Hills, CA
National Provider Identifier
1427754050
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5927 Issued in CA
Practice address
24452 Health Center Dr
Laguna Hills, CA 92653-3604
Phone
(949) 837-8000
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5927 CA Primary

Addresses

Primary practice location

24452 Health Center Dr
Laguna Hills, CA 92653-3604

Mailing address

61 Aliento
Rancho Santa Margarita, CA 92688-1128
Phone (951) 973-2897

Other names 1

  • Byron Alfredo Villagran Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1427754050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ALIENTO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926881128",
            "telephone_number": "951-973-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24452 HEALTH CENTER DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533604",
            "telephone_number": "949-837-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGRAN",
        "first_name": "BYRON",
        "middle_name": "ALFREDO",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "5927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BYRON",
            "last_name": "VILLAGRAN",
            "middle_name": "ALFREDO",
            "credential": "COTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.