Active NPI
Byron Alfredo Villagran, COTA
- Occupational Therapy Assistant
- Laguna Hills, CA
National Provider Identifier
1427754050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5927
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.