Active NPI
Annette Ruby Villegas
- Dental Hygienist
- Anaheim, CA
National Provider Identifier
1609713320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 36500
- Practice address
- 1182 N Euclid St
Anaheim, CA 92801-1900 - Phone
- (714) 441-0411
- NPI assigned
- Apr 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 36500 | CA | Primary |
Addresses
Primary practice location
1182 N Euclid St
Anaheim, CA 92801-1900
Mailing address
6198 Lakaren LN
Riverside, CA 92509-6279
Phone (951) 906-4121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36500 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1609713320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6198 LAKAREN LN",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925096279",
"telephone_number": "951-906-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011900",
"telephone_number": "714-441-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "ANNETTE",
"middle_name": "RUBY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "CA",
"license": "36500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.