Active NPI
Amairani Villasenor, PA-C
- Physician Assistant
- Rancho Santa Margarita, CA
National Provider Identifier
1609470947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA58828
- Practice address
- 29829 Santa Margarita Pkwy Ste 500
Rancho Santa Margarita, CA 92688-3623 - Phone
- (949) 858-3376
- NPI assigned
- Nov 27, 2020
- Last updated
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA58828 | CA | Primary |
Addresses
Primary practice location
29829 Santa Margarita Pkwy Ste 500
Rancho Santa Margarita, CA 92688-3623
Mailing address
5877 Grand Ave
Riverside, CA 92504-1327
Phone (951) 290-1253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58828 | CA | MD | Dentist |
| PA58828 | CA | MD | Physician Assistant |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1609470947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5877 GRAND AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925041327",
"telephone_number": "951-290-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29829 SANTA MARGARITA PKWY STE 500",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926883623",
"telephone_number": "949-858-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "AMAIRANI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA58828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.