Antonio Villalvazo M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C52080 Issued in CA

Legal business name

ANTONIO VILLALVAZO M.D. INC

Doing business as

Family Care Clinic of Fresno

Practice address

6191 N Fresno St
Suite 101
Fresno, CA 93710-8612

Phone

(559) 227-1663

Fax

(559) 227-9083

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Antonio Villalvazo, M.D.NPI 1689772261

Title

Owner

Phone

(559) 227-1663

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Care Clinic of Fresno Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Villalvazo

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1689772261
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1629108824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108612",
            "telephone_number": "559-227-1663",
            "fax_number": "559-227-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108612",
            "telephone_number": "559-227-1663",
            "fax_number": "559-227-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO VILLALVAZO M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "VILLALVAZO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-227-1663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5430437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Clinic of Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Jeffery Antiporda
• Shakoyia S Antoine
• Gary T Antone, M.P.T., A.T.C.
• Michael Antonino, COTA/L
• Antonio D Relucio Jr DDS
• Marc C Antonio
• Victor Antonio
• Antonis Antoniou, MD
• Michael Fox Antrim, PH.D.
• Jaime Raul Antuna, M.D.

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.