Active NPI
Dolores A Villacarlos, MD
- Family Medicine Physician
- Lomita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A35717
- Practice address
- 2040 Pacific Coast Hwy Ste S
Lomita, CA 90717-2660 - Phone
- (424) 347-8008
- Fax
- (844) 481-9664
- NPI assigned
- May 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A35717 | CA | |
| Family Medicine Physician | 207Q00000X | A35717 | CA | Primary |
Addresses
Primary practice location
2040 Pacific Coast Hwy Ste S
Lomita, CA 90717-2660
Mailing address
2040 Pacific Coast Hwy Ste S
Lomita, CA 90717-2660
Phone (424) 347-8008
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
| License | State | Type | Specialty |
|---|---|---|---|
| A35717 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Emergency Physicians Medical Group, Inc. | Current | Accepting new patients | |
| Alta Newport Hospital, LLC | Past | Accepting new patients | |
| Unified Care Medical Group, Inc. | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients | |
| Alta Los Angeles Hospital, Inc | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Deanco Healthcare LLC. | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients |
Locations
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
6245 De Longpre Ave
Los Angeles, CA 90028
Phone (310) 306-5502
13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729
14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1265810006
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
-
- General Acute Care Hospital
- Tustin, CA
- NPI 1043632938
-
- Skilled Nursing Facility
- Culver City, CA
- NPI 1518997733
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- Psychiatric Hospital Unit
- Panorama City, CA
- NPI 1013061597
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
-
- Primary Care Clinic/Center
- Lomita, CA
- NPI 1346607603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1699729335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 PACIFIC COAST HWY STE S",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172660",
"telephone_number": "424-347-8008",
"fax_number": "844-481-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 PACIFIC COAST HWY STE S",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172660",
"telephone_number": "424-347-8008",
"fax_number": "844-481-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLACARLOS",
"first_name": "DOLORES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A35717",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A35717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lomita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.