Peter Michael Vila, MD, MSPH

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036148655 Issued in IL

Practice address

899 Northgate Dr Ste 110
San Rafael, CA 94903-3664

Phone

(415) 684-8452

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1437413945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 110",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 110",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033664",
            "telephone_number": "415-684-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Euclid Ave",
            "address_2": "Campus Box 8115",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101010",
            "country_code": "US",
            "telephone_number": "314-747-0553",
            "fax_number": "314-362-7522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 N Lake Shore Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606118709",
            "country_code": "US",
            "telephone_number": "312-695-0665",
            "fax_number": "312-695-6594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "752 Broadway",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767011",
            "country_code": "US",
            "telephone_number": "925-558-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILA",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, MSPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2012018189",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IL",
            "license": "036148655",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036148655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Moore Chiropractic Inc.
• Lucia Vieira
• Christina Vigil, R.D.
• Korina Vigil
• Vila Facial Plastic Surgery
• Villa Marin Homeowners Association
• Village Health Services, LLC
• Dennis Villalobos Sabino
• Jose Gabriel Villanueva Padilla
• Marielle Manalo Villanueva, OTR/L

• Otolaryngology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.