Myla Marie Villanueva, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43405 Issued in CA

Practice address

6728 Sao Tiago Way
Elk Grove, CA 95757-3435

Phone

(916) 759-0166

NPI assigned

Nov 21, 2007

Sex

Female

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

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1518148220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2410",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957592410",
            "telephone_number": "916-759-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 SAO TIAGO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573435",
            "telephone_number": "916-759-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MYLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Villafan
• Abbie Villani
• Jennifer Luz Villanueva-Alvarado
• Alyssa Villanueva
• Eloise Villanueva
• Jessie Bernice Villari
• Noelani Lea Villasenor
• Alexandra Hernandez Villegas
• Teresa Vinciguerra
• Vinh D Phan, DDS (vpdentalcare)

• General Practice Dentistry in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.