Organization Active NPI

Villa Health Center LLC

  • General Practice Physician
  • Porterville, CA
National Provider Identifier
1609223718
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G62334 Issued in CA
Legal business name
VILLA HEALTH CENTER LLC
Practice address
304 N Villa St
Porterville, CA 93257-3211
Phone
(559) 782-9216
Fax
(559) 782-9212
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Dr. Clarence Emanuel Warner, M.D.
Title
President
Phone
(559) 782-9216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X G62334 CA Primary

Addresses

Primary practice location

304 N Villa St
Porterville, CA 93257-3211

Mailing address

304 N Villa St
Porterville, CA 93257-3211
Phone (559) 782-9216

National Provider Directory

National Provider Directory

Locations

304 N Villa St
Porterville, CA 93257
Phone (559) 697-5017

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICIBD

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1609223718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N VILLA ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573211",
            "telephone_number": "559-782-9216",
            "fax_number": "559-782-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N VILLA ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573211",
            "telephone_number": "559-782-9216",
            "fax_number": "559-782-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-782-9216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G62334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.