NPIMap

Individual provider Active NPI

Daniel Mark Villarosa, M.D

  • Obstetrics & Gynecology Physician
  • Apple Valley, CA
National Provider Identifier
1578666129
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C50281 Issued in CA
Practice address
18064 Wika Rd
Ste102
Apple Valley, CA 92307-2125
Phone
(760) 242-6652
Fax
(760) 242-6642
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C50281 CA
Obstetrics & Gynecology Physician 207V00000X C50281 CA Primary

Addresses

Primary practice location

18064 Wika Rd
Ste102
Apple Valley, CA 92307-2125

Mailing address

18064 Wika Rd
Ste102
Apple Valley, CA 92307-2125
Phone (760) 242-6652

Other identifiers 1

IdentifierTypeStateIssuer
00C502811MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50281CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Daniel M. Villarosa, M.D., a Professional Corporation Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Hospital of Barstow Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHBBD/Endpoint/IAHBBD
  • Direct secure messaging: villarod@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1578666129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18064 WIKA RD",
            "address_2": "STE102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "760-242-6652",
            "fax_number": "760-242-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18064 WIKA RD",
            "address_2": "STE102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "760-242-6652",
            "fax_number": "760-242-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAROSA",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C50281",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C50281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C502811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

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